Mira Todd, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2024042229 Issued in MO

Practice address

11330 Olive Blvd Ste 20
Creve Coeur, MO 63141-7275

Phone

(636) 896-2205

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1003280421
  Medicare reassignment Care Compare group NPD
• Axes Physical Therapy I, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment NPD
• Axes Physical Therapy I, LLC

  • Prosthetic/Orthotic Supplier
  • Union, MO
  • NPI 1912594243
  NPD
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1225859887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-223-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 OLIVE BLVD STE 20",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417275",
            "telephone_number": "636-896-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MIRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024042229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik P Thyssen, MD
• Kelly Renee Tipton, M.A., L.P.C.
• Alayna Titus, MMS PA-C
• TLC Laser Eye Centers (Refractive I) Inc. (TLC Laser Eye Centers St. Louis)
• TMS Therapeutics (Precision TMS)
• Janet Todorczuk, MD
• Alexa Lynne Tolliver, MOT, OTR/L
• Top Medical Center LP
• Total Access Urgent Care, PC (Total Access Urgent Care)
• Total Joint Center of St. Louis, LP (Total Joint Center of St. Louis)

• Occupational Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.