Active NPI
Margaret Nicole Donnelly
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1043959901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3407 S Jefferson Ave Ste 145
Saint Louis, MO 63118-3119 - Phone
- (314) 833-8848
- NPI assigned
- May 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
3407 S Jefferson Ave Ste 145
Saint Louis, MO 63118-3119
Mailing address
2404 Mountain Peak CT
Pacific, MO 63069-6609
Phone (636) 575-9633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022005471 | Other | MO | OT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@stridetherapy.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Therapy and Wellness LLC | Occupational Therapist | Current | Accepting new patients |
Locations
3407 S Jefferson Ave
Ste 145
Saint Louis, MO 63118
Phone (314) 833-8848
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Saint Louis, MO
- NPI 1962168443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1043959901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 MOUNTAIN PEAK CT",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630696609",
"telephone_number": "636-575-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 S JEFFERSON AVE STE 145",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183119",
"telephone_number": "314-833-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "MARGARET",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "2022005471",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@stridetherapy.com",
"affiliation": "N",
"address_1": "3407 S Jefferson Ave Ste 145",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631183119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.