Active NPI
Denise Mae Hagemann, OTR/L
- Occupational Therapist
- Osage Beach, MO
National Provider Identifier
1124387758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2012016604
- Practice address
- 1562 Mockingbird LN
Osage Beach, MO 65065-2417 - Phone
- (620) 655-9461
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 2012016604 | MO | Primary |
Addresses
Primary practice location
1562 Mockingbird LN
Osage Beach, MO 65065-2417
Mailing address
1562 Mockingbird LN
Osage Beach, MO 65065-2417
Phone (620) 655-9461
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 |
|---|---|---|---|
| 2012016604 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411257600000",
"number": "1124387758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 MOCKINGBIRD LN",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650652417",
"telephone_number": "620-655-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 MOCKINGBIRD LN",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650652417",
"telephone_number": "620-655-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMANN",
"first_name": "DENISE",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2014-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2012016604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.