Jessica McClain, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19066 Issued in CA

Practice address

88 Rowland Way Ste 250
Novato, CA 94945-5062

Phone

(415) 898-1311

Fax

(415) 897-0741

NPI assigned

Aug 15, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sport and Spine Therapy of Marin IncGroup PAC ID 4981617180, 11 clinicians

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 and National Provider Directory roles.

• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1174578199
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1689154064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROWLAND WAY STE 250",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455062",
            "telephone_number": "415-898-1311",
            "fax_number": "415-897-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROWLAND WAY STE 250",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455062",
            "telephone_number": "415-898-1311",
            "fax_number": "415-897-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "19066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Cameron MC Dill, PT
• Elizabeth Grace McCann, APCC
• Kevin McCarron, DPT
• Matthew Anthony McCarthy
• Katie McCay, NP
• Steve L McConnell, DDS
• E Craig McCurdy, OD
• Matthew Nere McCuskey
• Shante McDonald
• Tyler McDougold

• Occupational Therapist in Novato, CA
• Providers in Novato, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.