Jillian Lagace
Individual provider Active NPI Occupational Therapist · Northborough, MA
NPI 1801475686 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1801475686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 13703 (MA)
- Practice address
- 107 Otis St
Northborough, MA 01532-2459 - Phone
- (508) 898-2688
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917000277 | MA | Practitioner - Occupational Therapist in Private Practice | 3678077302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13703 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Occupational Therapist | Current |
Accepting new patients |
| Barrett Family Wellness Center Inc | Single Specialty | Past |
Accepting new patients |
| Barrett Family Wellness Center Inc. | Single Specialty | Past |
Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 13703 | MA | Yes |
Addresses
Primary practice location
107 Otis St
Northborough, MA 01532-2459
Mailing address
136 June St Apt 3
Worcester, MA 01602-2973
Phone (978) 895-5490
Other names
- Jillian Welch
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab MA LLC |
Other providers in Northborough, MA
- Marjorie Pierce Kroeger
- Kristen Krumbiegel
- Nahla Kyasa
- Kyla E White LMHC PC
- Kyla E White LMHC PC
- Karen A Landry
- Courtney Laperriere
- Michelle Laramee
- Kristina Nguyen Le
- Ricardo Lewitus
All providers in Northborough, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.