Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda McGillicuddy

Individual provider Occupational Therapist · NPI 1316755879

Amanda McGillicuddy is an Occupational Therapist in Private Practice in Walpole, Massachusetts. Qualified in 2024, 2 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

180 Main St
Walpole, MA 02081-4020
Phone: (774) 203-9071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15342 (MA)

Record details

NPI number1316755879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 29, 2024
Mailing address129 Ash St, Stoughton, MA 02072-3521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Walpole