JILLIAN HAYNES OTR
NPI 1659404523
Occupational Therapist in Agawam, MA

Active since March 13, 2007

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jillian Haynes Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN HAYNES OTR (NPI 1659404523) is an individual occupational therapist in Agawam, Massachusetts, licensed in Massachusetts (9074) and active in the NPI registry since March 2007. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1659404523
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJILLIAN HAYNESCredential: OTR
Location Address462 MAIN STAgawam, MA 01001-1833
Mailing Address107 Tanglewood DrEast Longmeadow, MA 01028-2660 · (413) 219-1283
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1659404523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MA · 9074
Definition
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.
462 MAIN ST, Agawam, MA 01001

Other Names 1

Former Name (1)Jillian Murawski Otr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Haynes Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062987852
PECOS Enrollment IDI20260409000922

Medicare Billing Reassignment

Medicare enrollment records show Jillian Haynes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
205C WILLOW ST
South Hamilton, MA 01982
  • Reassigned Medicare billing, Massachusetts enrollment
  • 48 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
462 MAIN ST
AGAWAM, MA 01001
Assisted Living Facility
462 MAIN ST
AGAWAM, MA 01001
Occupational Therapist
462 MAIN ST
AGAWAM, MA 01001
Physical Therapist
462 MAIN ST
AGAWAM, MA 01001
Assisted Living Facility
462 MAIN ST
AGAWAM, MA 01001
Assisted Living Facility
462 MAIN ST
AGAWAM, MA 01001
Speech-Language Pathologist
462 MAIN ST
AGAWAM, MA 01001
Clinic/Center (Rehabilitation)
462 MAIN ST
AGAWAM, MA 01001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Haynes's NPI number?

The NPI number for Jillian Haynes is 1659404523. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Jillian Murawski Otr.

Where is Jillian Haynes located?

Jillian Haynes practices at 462 Main St, Agawam, MA 01001. The listed phone number is (413) 335-8131.

What is Jillian Haynes's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jillian Haynes enrolled in Medicare?

Yes. Jillian Haynes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jillian Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Haynes reassigns Medicare benefits to Powerback Rehabilitation Of Ma, PC (South Hamilton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jillian Haynes was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.