Individual provider Active NPI

Mary A McCaslin, OT

  • Occupational Therapist
  • Muncie, IN
National Provider Identifier
1467500405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31000405A Issued in IN
Practice address
205 N Tillotson Ave RM Rehab
Muncie, IN 47304-3900
Phone
(765) 254-5118
NPI assigned
Jan 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 31000405A IN Primary

Addresses

Primary practice location

205 N Tillotson Ave RM Rehab
Muncie, IN 47304-3900

Mailing address

4870 E Jackson St
Muncie, IN 47303-4432
Phone (765) 288-1928

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
31000405AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Hospital, Inc. Occupational Therapist CurrentSince Dec 1, 2019 Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. CurrentSince Dec 1, 2019 Accepting new patients

Locations

3793 Solutions Ctr
Chicago, IL 60677

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

205 N Tillotson Ave
Muncie, IN 47304
Phone (765) 288-1995

4870 E Jackson St
Muncie, IN 47303
Phone (765) 254-9717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467500405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE RM REHAB",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-254-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLIN",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000405A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.