Active NPI
Kallihan Mary Hannah Riley, OTD
- Occupational Therapist
- Saint Charles, MO
National Provider Identifier
1194386623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2019038039
- Practice address
- 502 Houston St
Saint Charles, MO 63301-1760 - Phone
- (815) 209-7917
- NPI assigned
- Jun 25, 2019
- 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 Therapist | 225X00000X | 2019038039 | MO | Primary |
Addresses
Primary practice location
502 Houston St
Saint Charles, MO 63301-1760
Mailing address
502 Houston St
Saint Charles, MO 63301-1760
Phone (815) 209-7917
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1194386623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 HOUSTON ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011760",
"telephone_number": "815-209-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 HOUSTON ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011760",
"telephone_number": "815-209-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "KALLIHAN",
"middle_name": "MARY HANNAH",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2019038039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.