Individual provider Active NPI

Kaitlyn Corey, OTD

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1598443509
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
901075506 Issued in MA
Practice address
277 Elliot St
Newton, MA 02464-1201
Phone
(617) 527-0023
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 901075506 MA Primary

Addresses

Primary practice location

277 Elliot St
Newton, MA 02464-1201

Mailing address

19 Michele LN
Braintree, MA 02184-8235
Phone (781) 690-4840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520001149 MA Practitioner - Occupational Therapist in Private Practice 1557702743 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
901075506MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Brain Center Inc Occupational Therapist CurrentSince May 1, 2024 Accepting new patients
Fox Rehab Ma LLC Occupational Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

115 Norwood Park S
Ste 108
Norwood, MA 02062
Phone (781) 757-0577

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

Organizations & group practices 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1598443509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MICHELE LN",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848235",
            "telephone_number": "781-690-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 ELLIOT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641201",
            "telephone_number": "617-527-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "KAITLYN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "901075506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.