Kaitlyn McMullen, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.014178 Issued in IL

Practice address

1315 Macom Dr
Naperville, IL 60564-9358

Phone

(630) 585-7337

NPI assigned

Dec 13, 2024

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

• Katy McMullen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1720895626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RAYMOND DR APT 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649358",
            "telephone_number": "630-585-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "KAITLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.014178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "MCMULLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren McLaughlin, LAC.
• Marybeth McLaughlin, LCSW
• Heather Christine McLeland, APN
• MCM Loving Healthcare, Inc.
• Stefanie Gail McMillin, DPT
• Raymond McMullen, D.D.S.
• Bridget McNamara, PT
• Jillian McNamara, LPC, NCSP
• John McNamara, D.D.S., M.S.
• Lauren Ashley McNamara, LCSW

• Pediatric Occupational Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.