Active NPI
Twila Rae Mast, COTA/L
- Occupational Therapy Assistant
- Pickerington, OH
National Provider Identifier
1114174430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 00586
- Practice address
- 1300 Hill Rd N
Pickerington, OH 43147-8986 - Phone
- (614) 863-1858
- Fax
- (614) 751-2032
- NPI assigned
- Aug 19, 2008
- 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 Therapy Assistant | 224Z00000X | 00586 | OH | Primary |
Addresses
Primary practice location
1300 Hill Rd N
Pickerington, OH 43147-8986
Mailing address
1300 Hill Rd N
Pickerington, OH 43147-8986
Phone (614) 863-1858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00586 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1114174430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HILL RD N",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478986",
"telephone_number": "614-863-1858",
"fax_number": "614-751-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HILL RD N",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431478986",
"telephone_number": "614-863-1858",
"fax_number": "614-751-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAST",
"first_name": "TWILA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "00586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.