Individual provider Active NPI

Mary Jane Scarbrough, OT

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1265005409
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0020 Issued in AL
Practice address
114 Wildwood Pkwy
Birmingham, AL 35209-7153
Phone
(205) 939-8877
Fax
(205) 377-0043
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0020 AL Primary

Addresses

Primary practice location

114 Wildwood Pkwy
Birmingham, AL 35209-7153

Mailing address

114 Wildwood Pkwy
Birmingham, AL 35209-7153
Phone (205) 939-8877

Other practice location 1

720 37th St S
Birmingham, AL 35222-3206
Phone (205) 939-8877

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

LicenseStateTypeSpecialty
0020ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthworx, Inc CurrentSince Jul 25, 2021 Accepting new patients

Locations

114 Wildwood Pkwy
Birmingham, AL 35209
Phone (205) 939-8877

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1265005409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WILDWOOD PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097153",
            "telephone_number": "205-939-8877",
            "fax_number": "205-377-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WILDWOOD PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097153",
            "telephone_number": "205-939-8877",
            "fax_number": "205-377-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 37th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352223206",
            "country_code": "US",
            "telephone_number": "205-939-8877",
            "fax_number": "205-377-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "MARY JANE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

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