Active NPI
Mary Bird, BS, OT
- Occupational Therapist
- Monroe, NC
National Provider Identifier
1053629576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5230
- Practice address
- 1003 Toquima TRL
Monroe, NC 28110-6339 - Phone
- (046) 220-3557
- NPI assigned
- Sep 17, 2010
- Last updated
- May 15, 2023
- 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 | 5230 | NC | Primary |
Addresses
Primary practice location
1003 Toquima TRL
Monroe, NC 28110-6339
Mailing address
1003 Toquima TRL
Monroe, NC 28110-6339
Phone (046) 220-3557
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5230 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magical Milestones Pediatric Rehab LLC | Occupational Therapist | Current | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Past | Accepting new patients |
Locations
1315 E Sunset Dr
Monroe, NC 28112
Phone (704) 289-4595
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Monroe, NC
- NPI 1679264410
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1053629576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 TOQUIMA TRL",
"city": "MONROE",
"state": "NC",
"postal_code": "281106339",
"telephone_number": "046-220-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 TOQUIMA TRL",
"city": "MONROE",
"state": "NC",
"postal_code": "281106339",
"telephone_number": "046-220-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "MARY",
"credential": "BS, OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.