MEDICARE: KATELYN RYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	12344	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1004745	OTHER	MA	NHP
2	M18633	OTHER	MA	BCBS
3	0000023532	OTHER	MA	BMC
4	1303287	OTHER	MA	MBHP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	042611055	OTHER	MA	TAX ID
7	99618201	OTHER	MA	NETWORK HEALTH

General Provider Information

NPI Number	:	1821367905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN RYAN

Provider Business Mailing Address
First Line	:	1493 CAMBRIDGE ST
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-1047
Country	:	US
Telephone Number	:	617-665-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1493 CAMBRIDGE ST
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-1047
Country	:	US
Telephone Number	:	617-665-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2011
Last Update Date	:	12/15/2025

Similar Medicare Providers

1154286276 — SPENCER LIU
Practice Location Address:

1493 CAMBRIDGE ST
CAMBRIDGE, MA
02139-1047

Practice Phone: 617-665-1000
Practice Fax:

1497619555 — KUNGA LHAMO
Practice Location Address:

1493 CAMBRIDGE ST
CAMBRIDGE, MA
02139-1047

Practice Phone: 617-665-1000
Practice Fax:

1497261168 — KATHERINE WILLIAMS DUHAMEL PA-C
Practice Location Address:

1493 CAMBRIDGE ST
CAMBRIDGE, MA
02139-1047

Practice Phone: 617-665-1000
Practice Fax:

1053707927 — DR. SAKIL CHUNDYDYAL M.D.
Practice Location Address:

1493 CAMBRIDGE ST , ROOM 206
CAMBRIDGE, MA
02139-1047

Practice Phone: 617-575-5447
Practice Fax:

1083616767 — DR. LOUISE GLASSNER COHEN PHARM.D., BCPP
Practice Location Address:

1493 CAMBRIDGE ST , CAMBRIDGE HEALTH ALLIANCE-MYSTIC CENTER
CAMBRIDGE, MA
02139-1047

Practice Phone: 781-306-8639
Practice Fax:

1265427074 — JANET BAER MD
Practice Location Address:

1493 CAMBRIDGE ST , RADIOLOGY DEPARTMENT
CAMBRIDGE, MA
02139-1047

Practice Phone: 617-665-1240
Practice Fax:

Directions to “ KATELYN RYAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.