Individual provider Active NPI

Rebecca Mahood-Lieb, MS, OTR

  • Occupational Therapist
  • Wentzville, MO
National Provider Identifier
1073854972
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5142-26 Issued in MO
Practice address
332 Stable LN
Wentzville, MO 63385-5447
Phone
(636) 332-4940
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5142-26 MO Primary

Addresses

Primary practice location

332 Stable LN
Wentzville, MO 63385-5447

Mailing address

403 Gunnison Gorge Dr
Wildwood, MO 63011-1740
Phone (715) 222-9575

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
Master of Science

State licenses

LicenseStateTypeSpecialty
5142-26MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Horsemanship Occupational Therapist Past Accepting new patients

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1073854972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GUNNISON GORGE DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630111740",
            "telephone_number": "715-222-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 STABLE LN",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855447",
            "telephone_number": "636-332-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOD-LIEB",
        "first_name": "REBECCA",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "5142-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.