Active NPI
Mary Beth Mansfield, OTR
- Occupational Therapist
- Saint Peters, MO
National Provider Identifier
1164632790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000445
- Practice address
- 35 Buckland CT
Saint Peters, MO 63376-7631 - Phone
- (314) 799-1541
- NPI assigned
- May 23, 2007
- Last updated
- Oct 26, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000445 | MO | Primary |
| Occupational Therapist | 225X00000X | 056.004989 | IL |
Addresses
Primary practice location
35 Buckland CT
Saint Peters, MO 63376-7631
Mailing address
35 Buckland CT
Saint Peters, MO 63376-7631
Phone (314) 799-1541
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 |
|---|---|---|---|
| 000445 | MO | MD | Clinical Social Worker |
| 056.004989 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1164632790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BUCKLAND CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767631",
"telephone_number": "314-799-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BUCKLAND CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767631",
"telephone_number": "314-799-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "000445",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.004989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.