Individual provider Active NPI

Mary Lynn Wiesman, OTR/L

  • Occupational Therapist
  • Cincinnati, OH
National Provider Identifier
1386046282
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3332 Issued in OH
Practice address
1350 W North Bend Rd
Cincinnati Public Schools
Cincinnati, OH 45224-2606
Phone
(513) 363-4343
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 OT3332 OH Primary

Addresses

Primary practice location

1350 W North Bend Rd
Cincinnati Public Schools
Cincinnati, OH 45224-2606

Mailing address

PO Box 5381
Cincinnati Public Schools
Cincinnati, OH 45201-5381

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
OT3332OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1386046282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5381",
            "address_2": "CINCINNATI PUBLIC SCHOOLS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452015381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W NORTH BEND RD",
            "address_2": "CINCINNATI PUBLIC SCHOOLS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242606",
            "telephone_number": "513-363-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESMAN",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.