Active NPI
Caitlin Elizabeth McKinnell, OTR/L
- Occupational Therapist
- Springfield, MA
National Provider Identifier
1578578282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9121
- Practice address
- 300 Birnie Ave
Suite 304
Springfield, MA 01107-1107 - Phone
- (413) 781-1054
- Fax
- (413) 439-0026
- NPI assigned
- Jul 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9121 | MA | Primary |
| Hand Occupational Therapist | 225XH1200X | 9121 | MA |
Addresses
Primary practice location
300 Birnie Ave
Suite 304
Springfield, MA 01107-1107
Mailing address
80 Denslow Rd
East Longmeadow, MA 01028-3103
Phone (413) 526-9969
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA49027 | Other | MA | HARVARD PILGRIM |
| 043527497 | Other | MA | HNE |
| 690675 | Other | MA | TUFTS |
| 043527497 | Other | MA | CT CARE |
| 103355100 | Other | MA | DEPT. OF LABOR |
| 35265 | Other | MA | BMC |
| 64-04290 | Other | MA | UNITED HEALTH CARE |
| 9715568 | Medicaid | MA | |
| OT0011 | Other | MA | BC/BS OF MA |
| 043527497 | Other | MA | CIGNA |
| 972730 | Other | MA | NETWORK HELATH |
| 043527497 | Other | MA | GIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9121 | MA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Occupational Therapist | Past | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Occupational Therapist | Past | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Occupational Therapist | Past | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Occupational Therapist
-
dba ATI Physical Therapy of Western Massachusetts
- Occupational Therapist
- Springfield, MA
- NPI 1447445523
-
dba ATI Physical Therapy of Western Massachusetts
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
Occupational Therapist
-
dba Performance Rehabilitation PC
- Occupational Therapist
- East Longmeadow, MA
- NPI 1740345818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1578578282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 DENSLOW RD",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010283103",
"telephone_number": "413-526-9969",
"fax_number": "413-526-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BIRNIE AVE",
"address_2": "SUITE 304",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071107",
"telephone_number": "413-781-1054",
"fax_number": "413-439-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNELL",
"first_name": "CAITLIN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9121",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MA",
"license": "9121",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA49027",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "690675",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CARE",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "103355100",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "35265",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "64-04290",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9715568",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MA",
"identifier": "OT0011",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "043527497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HELATH",
"identifier": "972730",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC",
"identifier": "043527497",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.