Individual provider Active NPI

David Paul McLain, MOTR/L

  • Occupational Therapist
  • Kirksville, MO
National Provider Identifier
1366642159
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004756 Issued in MO
Practice address
2814 S Baltimore St
Kirksville, MO 63501-4640
Phone
(660) 785-1834
Fax
(660) 785-1825
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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 004756 MO Primary

Addresses

Primary practice location

2814 S Baltimore St
Kirksville, MO 63501-4640

Mailing address

2814 S Baltimore St
Kirksville, MO 63501-4640
Phone (660) 785-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000319 MO Practitioner - Occupational Therapist in Private Practice 4587719182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1605 S Baltimore St
Suite C
Kirksville, MO 63501-4508
Phone (660) 956-4036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Hannibal Regional Hospital LLC CurrentSince Aug 24, 2020 Accepting new patients
Kirksville Physical Therapy Services LLC Occupational Therapist CurrentSince Jul 1, 2009 Accepting new patients
Advance Hannibal Regional Hospital, LLC CurrentSince Aug 24, 2020 Accepting new patients
Kirksville Missouri Hospital Company, LLC Past Accepting new patients

Locations

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

160 Progress Rd
#111
Hannibal, MO 63401

2814 S Baltimore St
Kirksville, MO 63501
Phone (660) 785-1834

1605 S Baltimore St
Ste C
Kirksville, MO 63501
Phone (573) 406-1371

1926 Oak St
Unionville, MO 63565
Phone (660) 785-1834

Organizations & group practices 4

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1366642159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014640",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014640",
            "telephone_number": "660-785-1834",
            "fax_number": "660-785-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.