MS. MARY ELLEN DONOVAN (OTR) – Occupational Therapist, NPI 1598092926

MS. MARY ELLEN DONOVAN (OTR) is a healthcare provider. based in Holyoke, Massachusetts. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 9943 (MA). The NPI Number for MS. MARY ELLEN DONOVAN (OTR) is 1598092926

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY ELLEN DONOVAN (OTR)
NPI
1598092926
Phone
(413) 539-6910
Address
110 CHERRY ST
Enumeration Date
5 November 2009
Last Update Date
5 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4133886752
Graduation Year
2009 (17 years ago)
PAC ID
9830617877
Group Practice PAC ID
7911393319
Professional Enrollment ID
I20250514001246
Address ID
MA011191518SP936XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

370 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for MS. MARY ELLEN DONOVAN (OTR)

  • WCCH-FM (Holyoke), 110, Cherry Street, Holyoke, Hampden County, Massachusetts, 01040, United States

    HOLYOKE, MA 010407002

    Phone: (413) 539-6910

    Type: Location

  • 15, Parker Avenue, Depot Square, Westfield Center, Westfield, Hampden County, Massachusetts, 01085, United States

    WESTFIELD, MA 01085

    Phone: (413) 218-8589

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250514001246IOccupational Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911393319View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistWA

Reviews

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Frequently asked questions

How is MS. MARY ELLEN DONOVAN (OTR) identified in CMS data?
CMS-hosted NPPES data lists MS. MARY ELLEN DONOVAN (OTR) with NPI 1598092926.
Does CMS list MS. MARY ELLEN DONOVAN (OTR) as active?
Yes — MS. MARY ELLEN DONOVAN (OTR) is active in the NPI listing used on this page.
What is MS. MARY ELLEN DONOVAN (OTR)'s primary classification?
Occupational Therapist is the headline specialty for MS. MARY ELLEN DONOVAN (OTR) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. MARY ELLEN DONOVAN (OTR)?
MS. MARY ELLEN DONOVAN (OTR)'s geographic hint is Holyoke, Massachusetts in our summary view.
Is the information about MS. MARY ELLEN DONOVAN (OTR) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."