Active NPI
Mary Kathleen McCluney, OTR
- Occupational Therapist
- Ozark, AL
National Provider Identifier
1225535883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4722
- Practice address
- 193 Sam Lisenby Rd
Ozark, AL 36360-3048 - Phone
- (334) 445-6336
- NPI assigned
- Apr 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AL | ||
| Occupational Therapist | 225X00000X | 4722 | AL | Primary |
Addresses
Primary practice location
193 Sam Lisenby Rd
Ozark, AL 36360-3048
Mailing address
104 Martha Ave
Dothan, AL 36303-3852
Phone (205) 266-7386
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 |
|---|---|---|---|
| 4722 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumlar Therapy Service, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1225535883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MARTHA AVE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363033852",
"telephone_number": "205-266-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 SAM LISENBY RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363603048",
"telephone_number": "334-445-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNEY",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.