Maria Mack, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3730 Issued in SC

Practice address

1213 Llewellyn Rd
Mt Pleasant, SC 29464-3816

Phone

(336) 817-4278

NPI assigned

Oct 15, 2010

Last updated

Jun 26, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mack Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Mount Pleasant, SC
  • NPI 1063774107

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1114237823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 LLEWELLYN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643816",
            "telephone_number": "336-817-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 LLEWELLYN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643816",
            "telephone_number": "336-817-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Macdonald
• Willaim D Macdonald, DMD
• Allen Kent Maceachern, LMFT
• Kristen Machado, MA, LPC
• Mack Occupational Therapy, LLC
• Molly Lawton Mackenzie, LPC, NCC
• Kathryn Maday, LISW-CP/AP
• Lauren Edewaard Madden, LPC-A
• Made 2 Move Physical Therapy of Mount Pleasant, LLC
• Madison Culler, D.M.D., P.a.

• Pediatric Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.