Active NPI
Mackenzie L Chapman, OTR/L
- Occupational Therapist
- La Plata, MD
National Provider Identifier
1205592813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09363
- Practice address
- 5980 Radio Station Rd
La Plata, MD 20646-3337 - Phone
- (301) 932-6610
- NPI assigned
- Nov 9, 2021
- Last updated
- Nov 9, 2021
- 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 | 09363 | MD | Primary |
Addresses
Primary practice location
5980 Radio Station Rd
La Plata, MD 20646-3337
Mailing address
12705 Hatton Creek Rd
Newburg, MD 20664-6615
Phone (301) 752-3799
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 |
|---|---|---|---|
| 09363 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1205592813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12705 HATTON CREEK RD",
"city": "NEWBURG",
"state": "MD",
"postal_code": "206646615",
"telephone_number": "301-752-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 RADIO STATION RD",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206463337",
"telephone_number": "301-932-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "MACKENZIE",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
- Harika Chadive, DDS
- Savannah Chamberlain, LMSW
- Champion Smiles of Maryland LLC
- Tracie Chandler, COTA/L
- Jocelyn M Chaplin, LGSW
- Charelne a. Letchford MD PA
- Charles Care Pharmacies LLC (County Drug)
- Charles County Board of Education
- Charles County Board of Education
- Charles County County Commissioners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.