Individual provider Active NPI

Mariah Dawn Pierson, OTR/L

  • Occupational Therapist
  • McCook, NE
National Provider Identifier
1508436205
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2371 Issued in NE
Practice address
801 W C St Ste 3
MC Cook, NE 69001-3592
Phone
(308) 777-2476
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 2371 NE Primary

Addresses

Primary practice location

801 W C St Ste 3
MC Cook, NE 69001-3592

Mailing address

106 S Cherokee Rd
MC Cook, NE 69001-2223
Phone (308) 350-2786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001851 NE Practitioner - Occupational Therapist in Private Practice 4981009784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 W 7TH St
MC Cook, NE 69001-4322
Phone (308) 350-2786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2371NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Wellness, LLC CurrentSince Aug 9, 2021 Accepting new patients
Rise Therapy, LLC Occupational Therapist CurrentSince Oct 28, 2022 Accepting new patients

Locations

2105 W J St
McCook, NE 69001
Phone (308) 777-2476

801 W C St
Ste 3
McCook, NE 69001
Phone (308) 394-5333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1508436205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S CHEROKEE RD",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012223",
            "telephone_number": "308-350-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W C ST STE 3",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013592",
            "telephone_number": "308-777-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "MARIAH",
        "middle_name": "DAWN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.