Active NPI
Megan Lorraine Macdonald, MS, OTR/L
- Pediatric Occupational Therapist
- Waltham, MA
National Provider Identifier
1629532247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 12853
- Practice address
- 210 Bear Hill Rd Ste 401
Waltham, MA 02451-1025 - Phone
- (781) 790-8479
- NPI assigned
- Jan 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 12853 | MA | Primary |
Addresses
Primary practice location
210 Bear Hill Rd Ste 401
Waltham, MA 02451-1025
Mailing address
646 High St
Westwood, MA 02090-1630
Phone (781) 801-3921
Other practice location 1
163 Libbey Industrial Pkwy
Weymouth, MA 02189-3137
Phone (781) 335-6663
Other practice location 2
605 Neponset St
Canton, MA 02021-1981
Phone (781) 828-4770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404884 | Other | MA | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12853 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Center Boston, LLC | Pediatrics | Current | Accepting new patients |
| South Shore Therapies | Past | Accepting new patients | |
| Enable, Inc. | Past | Accepting new patients |
Locations
210 Bear Hill Rd
Ste 401
Waltham, MA 02451
Phone (781) 790-8479
Organizations & group practices 3
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.
-
- Early Intervention Provider Agency
- Norwood, MA
- NPI 1760591804
-
- Speech-Language Pathologist
- Weymouth, MA
- NPI 1316004179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1629532247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020901630",
"telephone_number": "781-801-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 BEAR HILL RD STE 401",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511025",
"telephone_number": "781-790-8479"
}
],
"practiceLocations": [
{
"address_1": "163 Libbey Industrial Pkwy",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021893137",
"country_code": "US",
"telephone_number": "781-335-6663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Neponset St",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MA",
"postal_code": "020211981",
"country_code": "US",
"telephone_number": "781-828-4770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD",
"first_name": "MEGAN",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "12853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "404884",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.