Individual provider Active NPI

Molly Childers, MOT, OTR/L

  • Occupational Therapist
  • Saint Peters, MO
National Provider Identifier
1366794661
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2008022963 Issued in MO
Practice address
7479 Mexico Rd
Saint Peters, MO 63376-1304
Phone
(636) 278-2168
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 2008022963 MO Primary

Addresses

Primary practice location

7479 Mexico Rd
Saint Peters, MO 63376-1304

Mailing address

317 School St
O Fallon, MO 63366-2824

Other practice location 1

545 Mira Villa Dr
Saint Peters, MO 63376-7618
Phone (314) 608-4165

Other practice location 2

166 Boone Hills Dr
Saint Peters, MO 63376-2495
Phone (636) 474-3999

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
2008022963MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366794661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SCHOOL ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7479 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761304",
            "telephone_number": "636-278-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Mira Villa Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633767618",
            "country_code": "US",
            "telephone_number": "314-608-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Boone Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762495",
            "country_code": "US",
            "telephone_number": "636-474-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "MOLLY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2008022963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.