Active NPI
Bertha Lee Mackey, OTR
- Specialist
- Boca Raton, FL
National Provider Identifier
1447385083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT3073
- Practice address
- 9316 Boca Gardens Pkwy
Unit D
Boca Raton, FL 33496-3768 - Phone
- (561) 866-4043
- Fax
- (561) 477-6976
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT3073 | FL | Primary |
Addresses
Primary practice location
9316 Boca Gardens Pkwy
Unit D
Boca Raton, FL 33496-3768
Mailing address
9316 Boca Gardens Pkwy
Unit D
Boca Raton, FL 33496-3768
Phone (561) 866-4043
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT3073 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447385083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 BOCA GARDENS PKWY",
"address_2": "UNIT D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963768",
"telephone_number": "561-866-4043",
"fax_number": "561-477-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9316 BOCA GARDENS PKWY",
"address_2": "UNIT D",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963768",
"telephone_number": "561-866-4043",
"fax_number": "561-477-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "BERTHA",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "OT3073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.