Jillian Haynes, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9074 Issued in MA

Practice address

462 Main St
Agawam, MA 01001-1833

Phone

(413) 335-8131

NPI assigned

Mar 13, 2007

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jillian Murawski Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Powerback Rehabilitation of Ma, PC

  • Physical Therapist
  • South Hamilton, MA
  • NPI 1194688341
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1659404523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TANGLEWOOD DR",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282660",
            "telephone_number": "413-219-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011833",
            "telephone_number": "413-335-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JILLIAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "MURAWSKI",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Grimard, OTR/L
• Monique Susanne Groux
• Josephine Hapgood, PTA
• Nadine Harkless
• Christina Hayfron-Benjamin, MD
• Michael Stephen Haynes, DPM
• Kaitlin Heffner
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• Sean Edawrd Hoffman, PA-C

• Occupational Therapist in Agawam, MA
• Providers in Agawam, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.