Danielle Marie Mayes, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004862 Issued in IL

Practice address

601 N Liberty St
Rushville, IL 62681-1156

Phone

(217) 248-4711

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Miss Danielle Marie Mayes Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2021.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1194498428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811156",
            "telephone_number": "217-248-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N LIBERTY ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811156",
            "telephone_number": "217-248-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MAYES",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• HSHS Medical Group Inc
• Susan Ann Huber-Bartlett, PA-C
• Danilo Rivera Kayanan Jr.
• Emily E Lamb, MHP
• Hughes Paganini Lochard, MD
• Meyer Psychological Services
• Cary Steven Miller, PHARMACIST
• Rhonda Mills, APN
• Brandi Michelle Moore
• Moreland and Devitt, Inc

• All providers in Rushville, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.