Jessica J McKenna, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1435 Issued in WV

Practice address

500 Granite Ave Ste 1
Milton, MA 02186-5626

Phone

(617) 691-7140

NPI assigned

Jul 14, 2009

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jessica J Cullinan, Galilei Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Boston Sensory Solutions

  • Multi-Specialty Clinic/Center
  • Milton, MA
  • NPI 1417308008

  Occupational Therapist

  NPD (past)
• Playworks LLC

  dba PlayWorks Child Development Center

  • Occupational Therapist
  • Morgantown, WV
  • NPI 1063439578
  NPD (past)
• Playworks LLC

  dba PlayWorks Child Development Center

  • Pediatric Occupational Therapist
  • Morgantown, WV
  • NPI 1962669168
  NPD (past)
• Wildflower Occupational Therapy

  dba Wildflower Pediatric Therapy

  • Occupational Therapist
  • Waterville, ME
  • NPI 1912772070
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1922237759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRANITE AVE STE 1",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865626",
            "telephone_number": "617-691-7140",
            "fax_number": "304-292-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRANITE AVE STE 1",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865626",
            "telephone_number": "617-691-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Edwin St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265018505",
            "country_code": "US",
            "telephone_number": "304-292-0173",
            "fax_number": "304-292-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC01116",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015720",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CULLINAN, GALILEI",
            "middle_name": "J",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lunie Maxi
• Thomas R. Mayo, M.D.
• Gregory P McCormick, P.A.
• Jane Theresa McDonald, ATC
• Amanda McInnis
• George Benson McManama Jr., M.D.
• Kaitlyn Kelly McTigue, NP
• Medical Center Orthotics and Prosthetics, LLC
• Gregg Raymond Melfi, DDS
• Babar Irfan Memon, M.D., M.SC.

• Occupational Therapist in Milton, MA
• Providers in Milton, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.