Mary Geraldine Ball, OTR
Individual provider Active NPI Hand Occupational Therapist · Tuscaloosa, AL
NPI 1508990888 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1508990888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- 3203 (AL)
- Practice address
- 400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009 - Phone
- (205) 345-0192
- Fax
- (205) 345-7341
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203 | AL | MD | Professional Counselor |
| OT4686 | FL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Clinic LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT4686 | FL | |
| Hand Occupational Therapist | 225XH1200X | 3203 | AL | Yes |
Addresses
Primary practice location
400 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2009
Mailing address
PO Box 2447
Tuscaloosa, AL 35403-2447
Phone (850) 932-9393
Other practice location 1
1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4838
Phone (850) 934-2180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 512-02180 | Other | AL | BCBS |
| 206106 | Medicaid | AL |
Other providers in Tuscaloosa, AL
- Charles Alden Ball
- Cierra Silver Ball
- Elizabeth Ball
- Ellen Wills Ball
- Leticia Ball
- Robert Shane Ballard
- Bama Heart Doc, P.C.
- Bama Medical Equipment
- Bama Urgent Medicine, Inc
- Ann Elizabeth Bambarger
All providers in Tuscaloosa, AL · Hand Occupational Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.