Mary Olivia Maenner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22784 Issued in FL

Practice address

5850 SE Community Dr
Stuart, FL 34997-6420

Phone

(772) 324-3500

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• QRM Plus Florida - OT LLC

  dba Element Health Services

  • Occupational Therapist
  • Clearwater, FL
  • NPI 1760159685
  Medicare reassignment NPD
• Aloha Health & Wellness LLC

  • Health & Wellness Coach
  • St Petersburg, FL
  • NPI 1992689244

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1073269114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 S INDIAN RIVER DR UNIT 4",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349572247",
            "telephone_number": "443-802-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 SE COMMUNITY DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976420",
            "telephone_number": "772-324-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENNER",
        "first_name": "MARY",
        "middle_name": "OLIVIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "22784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matisha Madhav
• Justin Madigan, D.C.
• Erika Madrigal Hoyos, MD
• Kayla Madrigal
• Crystal Madriz
• Yoselin Jasmin Magana
• Annalyse Rose Maggard
• Glena Gail Maggart, ARNP
• Christopher Dax Maggiore, D.C.
• Christopher Maguire, M.D.

• Occupational Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.