Individual provider Active NPI

Jillian M Devine

  • Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1881206548
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056013716 Issued in IL
Practice address
546 Delaware Ave Apt 2S
Buffalo, NY 14202-1333
Phone
(630) 345-0952
NPI assigned
Aug 23, 2020
Last updated
Aug 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056013716 IL Primary
Occupational Therapist 225X00000X 023736 NY

Addresses

Primary practice location

546 Delaware Ave Apt 2S
Buffalo, NY 14202-1333

Mailing address

546 Delaware Ave Apt 2S
Buffalo, NY 14202-1333
Phone (630) 345-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MS, NC, NY, SC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240806004015 IL Practitioner - Occupational Therapist in Private Practice 9133666266 Reassigns benefits to 2 organizations
I20240902000242 MS Practitioner - Occupational Therapist in Private Practice 9133666266 Reassigns benefits to 1 organization
I20250114002851 NC Practitioner - Occupational Therapist in Private Practice 9133666266 Reassigns benefits to 2 organizations
I20251105001914 NY Practitioner - Occupational Therapist in Private Practice 9133666266 Reassigns benefits to 1 organization
I20251112001893 SC Practitioner - Occupational Therapist in Private Practice 9133666266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians
Fitness Clinic WellnessGroup PAC ID 4486938719, 9 clinicians
Collective Therapy CorpGroup PAC ID 0143651802, 75 clinicians

Practice addresses (Care Compare)

Clarence Center, NY 14032
Phone (857) 990-6111

Lexington, SC 29072
Phone (857) 990-6111

Madison, MS 39110
Phone (601) 983-7494

Chicago, IL 60647
Phone (857) 990-6111

20303 Crawford Ave
Suite 230
Olympia Fields, IL 60461-1173
Phone (708) 679-1000

239 Kimberly Ave
Asheville, NC 28804-3510
Phone (857) 990-6111

507 Wakefield Dr
Apt C
Charlotte, NC 28209-3148
Phone (704) 285-8207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7629SCMDProfessional Counselor
056013716ILMDOccupational Therapist
023736NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Therapy Corp. Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients
Xrhealth USA Inc CurrentSince Oct 10, 2025 Accepting new patients
Fitness Clinic Wellness CurrentSince Jul 6, 2024 Accepting new patients
Xrhealth USA Inc PastSince Jul 16, 2023 Accepting new patients

Locations

20303 Crawford Ave
Ste 230
Olympia Flds, IL 60461
Phone (708) 679-1000

200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000

300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1881206548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 DELAWARE AVE APT 2S",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021333",
            "telephone_number": "630-345-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 DELAWARE AVE APT 2S",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021333",
            "telephone_number": "630-345-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013716",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.