Mary Secrest OT, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MARY SECREST OT, LLC

Practice address

4412 Park Ave
Richmond, VA 23221-1127

Phone

(804) 248-0740

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Mary Secrest, OTR/LNPI 1528531738

Title

Owner/Therapist

Phone

(804) 248-0740

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Secrest, OTR/L

  • Occupational Therapist
  • North Chesterfield, VA
  • NPI 1528531738
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1225899545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 PARK AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232211127",
            "telephone_number": "804-248-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SECREST OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "SECREST",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "804-248-0740",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn A Martucci, CRNA
• Kebede Maru, PHARMACIST
• Mary Ann Hughes Cox, LCSW, LLC
• Mary Beth Murray, LLC
• Mary Brantley Holmes MSN WHNP-BC LLC
• Ginger A. Mary, CPNP
• Mary'S House LLC
• Mary'S Oasis Residential Services, LLC.
• Marybeth Wicker, DDS, PC
• Julianna Golden Maryniuk, RN

• Occupational Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.