Mary Brigid Lally

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102830 Issued in MN

Practice address

419 Orchard LN
South St Paul, MN 55075-1811

Phone

(651) 306-9529

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1013242387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ORCHARD LN",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751811",
            "telephone_number": "651-306-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ORCHARD LN",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751811",
            "telephone_number": "651-306-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "MARY",
        "middle_name": "BRIGID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Housing & Redevelopment Authority of the City of South St. Paul
• Nasrin Islam
• Lori Johnson
• Barbara K. Junker, DDS
• Karen M Karlinski, MD
• Amy Lee-Jones, LMFT
• Amber Martina Lindeman, PSYD, LP
• Brenly Maldonado
• Thomas Anthone Taylor Matros, LPN
• Charles Glen Mickelson, C.PED.

• Occupational Therapist in South St Paul, MN
• Providers in South St Paul, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.