Mary Katherine Easter, CPO, OTR/L
Individual provider Active NPI Prosthetist · Princeton, MO
NPI 1548522154 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1548522154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- Practice address
- 23618 Hamilton Rd
Princeton, MO 64673-9654 - Phone
- (660) 953-8955
- NPI assigned
- Jun 10, 2012
- 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 |
|---|---|---|---|
| 2006032642 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Physical Therapy and Sports Medicine LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Occupational Therapist | 225X00000X | 2006032642 | MO | |
| Prosthetist | 224P00000X | Yes |
Addresses
Primary practice location
23618 Hamilton Rd
Princeton, MO 64673-9654
Mailing address
23618 Hamilton Rd
Princeton, MO 64673-9654
Phone (660) 953-8955
Other providers in Princeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. 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.