Individual provider Active NPI

Jane Hannafin, OTR/L

  • Occupational Therapist
  • Brookline, MA
National Provider Identifier
1780231399
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10188 Issued in MA
Practice address
200 Ivy St
Brookline, MA 02446-3907
Phone
(401) 465-4864
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10188 MA Primary

Addresses

Primary practice location

200 Ivy St
Brookline, MA 02446-3907

Mailing address

91 Abbey Ave
Warwick, RI 02888-3708
Phone (401) 465-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524002043 MA Practitioner - Occupational Therapist in Private Practice 3173900511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mab Community Services IncGroup PAC ID 3870570070, 12 clinicians

Practice addresses (Care Compare)

799 W Boylston St
Suite 7
Worcester, MA 01606-3071
Phone (585) 854-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mab Community Services, Inc Occupational Therapist CurrentSince Feb 17, 2022 Accepting new patients

Locations

200 Ivy St
Brookline, MA 02446
Phone (617) 738-5110

799 W Boylston St
Ste 7
Worcester, MA 01606
Phone (508) 854-0700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1780231399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ABBEY AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883708",
            "telephone_number": "401-465-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IVY ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463907",
            "telephone_number": "401-465-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAFIN",
        "first_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.