Individual provider Active NPI

Caitlyn O'Brien, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Sutton, MA
National Provider Identifier
1508602541
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP77252 Issued in MA
Practice address
5 Tipperary Dr
Sutton, MA 01590-2731
Phone
(774) 276-2282
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP77252 MA Primary

Addresses

Primary practice location

5 Tipperary Dr
Sutton, MA 01590-2731

Mailing address

5 Tipperary Dr
Sutton, MA 01590-2731
Phone (774) 276-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630001775 MA Practitioner - Qualified Speech Language Pathologist 4587177993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
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)

93 Stafford St
Worcester, MA 01603-1459
Phone (508) 859-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP77252MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc CurrentSince Jul 21, 2025 Accepting new patients

Locations

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

204 Worcester St
North Grafton, MA 01536
Phone (508) 887-8888

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

93 Stafford St
Worcester, MA 01603
Phone (508) 593-1890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1508602541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TIPPERARY DR",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902731",
            "telephone_number": "774-276-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TIPPERARY DR",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015902731",
            "telephone_number": "774-276-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CAITLYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP77252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.