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

Kathleen Wynne

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588172688

Kathleen Wynne is an Occupational Therapist in Private Practice in Springfield, Massachusetts. Qualified in 2018, 8 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

300 Birnie Ave Ste 304
Springfield, MA 01107-1121
Phone: (413) 781-1054
Fax: (413) 930-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 153 Hazard Ave, Enfield, CT 06082-4592 — (860) 253-5020

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588172688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield