Individual provider Active NPI

Mariguez Antonio Thomas

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1437613197
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
248688 Issued in KY
Practice address
5215 Commerce Crossings Dr
Louisville, KY 40229-2183
Phone
(502) 290-2421
NPI assigned
Jan 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6137 TN
Occupational Therapist 225X00000X 248688 KY Primary

Addresses

Primary practice location

5215 Commerce Crossings Dr
Louisville, KY 40229-2183

Mailing address

1405 Rufer Ave
Louisville, KY 40204-1631
Phone (731) 798-6331

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6137TNMDPharmacist
248688KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Therapy Group, L.L.C. Occupational Therapist CurrentSince Jul 23, 2023 Accepting new patients
Partners in Communication Occupational Therapist CurrentSince Jan 3, 2024 Accepting new patients
Jones Therapy Services LLC Occupational Therapist PastSince Jan 7, 2013 Accepting new patients

Organizations & group practices 3

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1437613197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 RUFER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041631",
            "telephone_number": "731-798-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 COMMERCE CROSSINGS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292183",
            "telephone_number": "502-290-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARIGUEZ",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6137",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "248688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.