Individual provider Active NPI

Kerrylee Anna McNeil, OTR

  • Occupational Therapist
  • Waltham, MA
National Provider Identifier
1508552381
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14668 Issued in MA
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

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230510000764 MA Practitioner - Occupational Therapist in Private Practice 4981060324 Reassigns benefits to 1 organization

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
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

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

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc CurrentSince Oct 7, 2024 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.

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.

Verify at the official NPI Registry.