Individual provider Active NPI

Jacqueline K Maginn, OTR

  • Occupational Therapist
  • Florissant, MO
National Provider Identifier
1487785200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003896 Issued in MO
Practice address
12555 Partridge Run Dr
Florissant, MO 63033-5015
Phone
(314) 741-4126
Fax
(314) 741-4450
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003896 MO Primary

Addresses

Primary practice location

12555 Partridge Run Dr
Florissant, MO 63033-5015

Mailing address

12555 Partridge Run Dr
Florissant, MO 63033-5015
Phone (314) 741-4126

Other names 1

  • Miss Jacqueline K French Former name

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
003896MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazelwood School District Past Accepting new patients

Organizations & group practices 1

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487785200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 PARTRIDGE RUN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335015",
            "telephone_number": "314-741-4126",
            "fax_number": "314-741-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 PARTRIDGE RUN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335015",
            "telephone_number": "314-741-4126",
            "fax_number": "314-741-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGINN",
        "first_name": "JACQUELINE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FRENCH",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florissant, MO

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.

Verify at the official NPI Registry.