Kelly McClintock

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

05171 Issued in MD

Practice address

10435 Downsville Pike
Hagerstown, MD 21740-7901

Phone

(301) 766-8222

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Board of Education of Washington County

  • Local Education Agency (LEA)
  • Hagerstown, MD
  • NPI 1336276682

  Occupational Therapist

  NPD
• Washington County Early Intervention

  • Speech-Language Pathologist
  • Hagerstown, MD
  • NPI 1417082959

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1679769996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LUMBER ST.",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "17340",
            "telephone_number": "717-451-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407901",
            "telephone_number": "301-766-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007194L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "101421547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina A McCauley Shriver, LCPC, NCC
• Anna Marie McClain, DPT
• Joshua Travis McClain
• Victoria McClain
• Rebecca McClean
• McCollum Hearing Center LLC
• Jessica Marie McCollum, B.S, H.A.D
• Linda A McCollum
• Brenda Jean McColpin, RN, LMSW
• Michael J McCormack, M.D

• Occupational Therapist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.