NPIMap

Individual provider Active NPI

Kaylee M Preece, MSOTR/L

  • Occupational Therapist
  • Methuen, MA
National Provider Identifier
1629517628
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
478643 Issued in MA
Practice address
386 Merrimack St
Methuen, MA 01844-5885
Phone
(978) 965-5089
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 478643 MA
Pediatric Occupational Therapist 225XP0200X 478643 MA
Occupational Therapist 225X00000X 478643 MA Primary

Addresses

Primary practice location

386 Merrimack St
Methuen, MA 01844-5885

Mailing address

10 George St
#310
Lowell, MA 01852-2241
Phone (978) 452-1776

Other practice location 1

10 George St
#310
Lowell, MA 01852-2241
Phone (978) 452-1776

Other names 1

  • Kaylee M Faulkner Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
478643MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Rehab Associates, Inc Past Accepting new patients

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629517628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GEORGE ST",
            "address_2": "#310",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522241",
            "telephone_number": "978-452-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MERRIMACK ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445885",
            "telephone_number": "978-965-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 George St",
            "address_2": "#310",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522241",
            "country_code": "US",
            "telephone_number": "978-452-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREECE",
        "first_name": "KAYLEE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MA",
            "license": "478643",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "478643",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "478643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "FAULKNER",
            "middle_name": "M",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.