Active NPI
Mary Meckert, OTA
- Occupational Therapy Assistant
- Lexington, KY
National Provider Identifier
1295273423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32000636A
- Practice address
- 1050 Chinoe Rd
Suite 350
Lexington, KY 40502-6571 - Phone
- (859) 317-4038
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32000636A | IN | Primary |
Addresses
Primary practice location
1050 Chinoe Rd
Suite 350
Lexington, KY 40502-6571
Mailing address
543 Port Dr
Avon, IN 46123-1237
Phone (812) 499-1692
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32000636A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1295273423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 PORT DR",
"city": "AVON",
"state": "IN",
"postal_code": "461231237",
"telephone_number": "812-499-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CHINOE RD",
"address_2": "SUITE 350",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405026571",
"telephone_number": "859-317-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECKERT",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32000636A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.