KATHLEEN FAGAN (NPI# 1225431232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225431232 |
| Entity Type | Individual |
| Full Name | KATHLEEN FAGAN |
| Credential | OTR |
| Practice Address |
54 Bay State Ave Somerville MA 02144-2134 |
| Practice Telephone | 5184965717 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 11367 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881041572 | Kathleen Ann Fagan | Registered Nurse | 7500 Auburn Rd, Concord Township, OH 44077-9602 | 2016-05-23 |
| 1386974517 | Kathleen Anne Fagan | Nurse Practitioner | 241 Moore St, Hackensack, NJ 07601-7533 | 2010-01-11 |
| 1528005543 | Kathleen M Fagan | Preventive Medicine | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-05-31 |
| Street Address |
54 BAY STATE AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262523 | Gretchen Segers | Occupational Therapist | 45 Gordon St, Somerville, MA 02144-1109 | 2020-07-15 |
| 1588281794 | Rebekah Whitener | Occupational Therapist | 163 Summer St Apt 33, Somerville, MA 02143-2627 | 2020-07-03 |
| 1548829492 | Jill Catherine Raychel | Occupational Therapist | 337 E Main St Ste 2b, Somerville, NJ 08876-3109 | 2019-06-12 |
| 1295207439 | Emma Rooss | Occupational Therapist | 190 N Middaugh St, Somerville, NJ 08876-1404 | 2018-12-28 |
| 1144716861 | Andrea Boerding | Occupational Therapist | 10 Craigie St Apt 2, Somerville, MA 02143-2426 | 2018-07-05 |
| 1144740671 | Sarah Euler | Occupational Therapist | 83 Curtis St Unit 1, Somerville, MA 02144-1240 | 2017-06-26 |
| 1487186193 | Trinity Rehab Somerset Pa | Occupational Therapist | 89 Route 206, Somerville, NJ 08876-4102 | 2017-03-31 |
| 1245762905 | Gabrielle Mele-algus | Occupational Therapist | 48 Raymond Ave, Apt 2, Somerville, MA 02144-1210 | 2017-03-31 |
| 1265887327 | Michael Rocco | Occupational Therapist | 125 Josephine Ave, Somerville, MA 02144-2206 | 2016-04-26 |
| 1083010938 | Tiffany Michelle Hunter | Occupational Therapist | 1040 Fayette Corner Dr, Somerville, TN 38068-4314 | 2014-11-04 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.