Individual provider Active NPI

Margaret Nicole Donnelly

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1043959901
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2022005471OtherMOOT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Stride Therapy and Wellness LLC Occupational Therapist CurrentSince Jun 5, 2022 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.

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.

Verify at the official NPI Registry.