Mary Petitt, OTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

406 Wyoming Rd
Owingsville, KY 40360-8906

Phone

(606) 674-6613

NPI assigned

May 10, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1093241192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 WYOMING RD",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403608906",
            "telephone_number": "606-674-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WYOMING RD",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403608906",
            "telephone_number": "606-674-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITT",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Otis, PHARMD
• Owingsville Elementary
• P I C Corporation (Family Discount Drugs)
• Rebecca Elisabeth Pennington, RN
• Sherri S. Pergrem
• Brittany Phillips, FNP
• Amy Piccaluga
• Santana Pierce
• Kim Renee Pulliam, LCSW
• Kayla Renee Purvis, NP

• Occupational Therapist in Owingsville, KY
• Providers in Owingsville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.