Active NPI
Kerrylee Anna McNeil, OTR
- Occupational Therapist
- Waltham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14668
- Practice address
- 179 Bear Hill Rd
Waltham, MA 02451-1063 - Phone
- (781) 895-9500
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14668 | MA | Primary |
Addresses
Primary practice location
179 Bear Hill Rd
Waltham, MA 02451-1063
Mailing address
179 Bear Hill Rd
Waltham, MA 02451-1063
Phone (188) 881-0677
Other practice location 1
300 1st Ave
Charlestown, MA 02129-3109
Phone (617) 952-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Cedar St
Wellesley, MA 02481-3527
Phone (781) 237-1769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Physical Therapy Inc | Current | Accepting new patients |
Locations
406R Washington St
Holliston, MA 01746
Phone (508) 429-4940
110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336
110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Wellesley, MA
- NPI 1699752931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1508552381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 BEAR HILL RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511063",
"telephone_number": "188-881-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 BEAR HILL RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511063",
"telephone_number": "781-895-9500"
}
],
"practiceLocations": [
{
"address_1": "300 1st Ave",
"address_purpose": "LOCATION",
"city": "Charlestown",
"state": "MA",
"postal_code": "021293109",
"country_code": "US",
"telephone_number": "617-952-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEIL",
"first_name": "KERRYLEE",
"middle_name": "ANNA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.