Theresa Rita Mayer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4880026 Issued in WI

Practice address

1650 Tri Park Way
Appleton, WI 54914-1652

Phone

(920) 830-6697

NPI assigned

Jun 30, 2010

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

Other names 1

• Theresa Rita Moes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1073824595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2598 STATE ROAD 47",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TRI PARK WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141652",
            "telephone_number": "920-830-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "THERESA",
        "middle_name": "RITA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4880026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MOES",
            "middle_name": "RITA",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryton Maupin
• Cassandra Maurer, PT, DPT
• Lyndsey S Maves, PA-C
• Jacqueline Nicole Maxam
• Tanna J Mayer, LMT
• Kyle Robert Mayfield
• Mary K Mayr, H.I.S.
• Amanda E Mazariegos
• Mbcares, LLC
• David M MC Carthy, M.D.

• Occupational Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.