Individual provider Active NPI

Kathleen C Sheehan, OTR

  • Occupational Therapist
  • Taunton, MA
National Provider Identifier
1578231304
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13991 Issued in MA
Practice address
152 Dean St
Taunton, MA 02780-2766
Phone
(508) 880-8721
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 13991 MA Primary

Addresses

Primary practice location

152 Dean St
Taunton, MA 02780-2766

Mailing address

703 Granite St Ste 3
Braintree, MA 02184-5350
Phone (781) 807-6138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910001847 MA Practitioner - Occupational Therapist in Private Practice 3375949696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Orthopaedic SpecialistsGroup PAC ID 0648241414, 46 clinicians

Practice addresses (Care Compare)

200 Unicorn Park Dr
Suite 201
Woburn, MA 01801-3342
Phone (781) 782-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 7, 2021 Accepting new patients
South Shore Orthopedics, LLC CurrentSince Dec 22, 2022 Accepting new patients
Excel Orthopaedic Specialists CurrentSince Sep 25, 2023 Accepting new patients
South Shore Orthopedics LLC CurrentSince Dec 22, 2022 Accepting new patients
Excel Orthopaedic Specialists Inc Occupational Therapist Past Accepting new patients
Excel Orthopaedic Specialists Inc Past Accepting new patients

Locations

2 Pond Park Rd
Ste 102
Hingham, MA 02043
Phone (781) 337-5555

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

152 Dean St
Taunton, MA 02780
Phone (508) 824-3872

200 Unicorn Park Dr
Ste 201
Woburn, MA 01801
Phone (781) 782-1300

Organizations & group practices 7

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1578231304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-807-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEAN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802766",
            "telephone_number": "508-880-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.