Mary Elizabeth Bolger, OTRL
Individual provider Active NPI Occupational Therapist · Ft Mitchell, KY
NPI 1285838490 · NPPES record last updated Apr 20, 2016
Key facts
- NPI
- 1285838490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- R2141 (KY)
- Practice address
- 2003 Pieck Dr
Ft Mitchell, KY 41011-2627 - Phone
- (859) 653-1927
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R2141 | KY | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | KY-R2141 | KY | |
| Occupational Therapist | 225X00000X | R2141 | KY | Yes |
Addresses
Primary practice location
2003 Pieck Dr
Ft Mitchell, KY 41011-2627
Mailing address
1 Sperti Dr
Edgewood, KY 41017-9654
Phone (859) 344-9322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100335270 | Medicaid | KY |
Other names
- Mary Elizabeth Reusch
Other providers in Ft Mitchell, KY
- Jennifer Blincoe
- Randall Todd Blincoe
- Tyler Blincoe
- Bluegrass Hearing Clinic LLC
- Chloe Carlotta Bohlen
- Bolte Psychological Services, LLC
- Laura Rose Bolte
- Jennifer L Bolton
- Lyndsey Marie Borders
- Michael J. Bosch
All providers in Ft Mitchell, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.