Active NPI
Meghan Mazurek-Russell, OT
- Occupational Therapist
- Maumee, OH
National Provider Identifier
1033409594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT002541
- Practice address
- 1560 Henthorne Dr
Maumee, OH 43537-1371 - Phone
- (419) 866-5196
- Fax
- (419) 866-5206
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT002541 | OH | Primary |
Addresses
Primary practice location
1560 Henthorne Dr
Maumee, OH 43537-1371
Mailing address
1560 Henthorne Dr
Maumee, OH 43537-1371
Phone (419) 866-5196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609899061 | Other | OH | NPI CORPORATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT002541 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1033409594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 HENTHORNE DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371371",
"telephone_number": "419-866-5196",
"fax_number": "419-866-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 HENTHORNE DR",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371371",
"telephone_number": "419-866-5196",
"fax_number": "419-866-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUREK-RUSSELL",
"first_name": "MEGHAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT002541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI CORPORATE",
"identifier": "1609899061",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.