Active NPI
Mary L Pennington, OTR
- Occupational Therapist
- Onaga, KS
National Provider Identifier
1467417584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02214
- Practice address
- 120 W 8TH St
Onaga, KS 66521-9574 - Phone
- (785) 889-4921
- Fax
- (785) 889-4117
- NPI assigned
- Apr 20, 2006
- Last updated
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-02214 | KS | Primary |
Addresses
Primary practice location
120 W 8TH St
Onaga, KS 66521-9574
Mailing address
705 Cleo St
Havensville, KS 66432-9565
Phone (785) 948-2110
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02214 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1467417584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 CLEO ST",
"city": "HAVENSVILLE",
"state": "KS",
"postal_code": "664329565",
"telephone_number": "785-948-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 8TH ST",
"city": "ONAGA",
"state": "KS",
"postal_code": "665219574",
"telephone_number": "785-889-4921",
"fax_number": "785-889-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "MARY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onaga, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.