Kristina Lyn McCollum, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00160700 Issued in NJ

Practice address

620 Covington CT
Sewell, NJ 08080-3019

Phone

(856) 863-1765

Fax

(856) 696-5770

NPI assigned

Aug 15, 2007

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

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1790977577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COVINGTON CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803019",
            "telephone_number": "856-863-1765",
            "fax_number": "856-696-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COVINGTON CT",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803019",
            "telephone_number": "856-863-1765",
            "fax_number": "856-696-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "KRISTINA",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00160700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John James McCarty, D.M.D.
• Meredith A McClain, LCSW
• Brian C McCloskey, ATC, LAT, CEAS II
• Twanna McClure
• Kelly McCollick
• Caroline Maria McCullough, OTD, OTR/L
• Maura McCusker
• Julie Lynn McDonald, CRNP
• Connor McElligott, MD
• Annette Decandia McGuire, BA, COGS, CADC INTER

• Occupational Therapist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.