Mary Tucker, M.S. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119006928 Issued in VA

Practice address

14366 Sommerville CT
Midlothian, VA 23113-6838

Phone

(804) 601-6010

Fax

(804) 601-4774

NPI assigned

May 9, 2016

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

Other names 1

• Mary Burgess Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1285080283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SOUTH BLVD",
            "address_2": "SUITE 310",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521160",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14366 SOMMERVILLE CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136838",
            "telephone_number": "804-601-6010",
            "fax_number": "804-601-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARY",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BURGESS",
            "credential": "M.S. OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• True Counseling Services Inc.
• Michelle M Trzesniowski, CRNP
• Kafui Vida Tsikata, M.D.
• Marybeth Tuck
• Tuckahoe Orthopaedic Associates, LTD
• Maurice L Tucker, D.C.
• Hannah L Tudor, FNP-C
• Aaron Nicole Turner, LBA, BCBA, M.ED.
• Crystal C Turner, DDS
• Patrick L. Turner, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.