Active NPI
Mary Buehne, OTR/L
- Occupational Therapist
- Belleville, IL
National Provider Identifier
1548895089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.013491
- Practice address
- 101 S Belt W
Belleville, IL 62220-2503 - Phone
- (618) 277-7700
- NPI assigned
- Mar 5, 2020
- Last updated
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.013491 | IL | Primary |
Addresses
Primary practice location
101 S Belt W
Belleville, IL 62220-2503
Mailing address
7012 Highline Rd
Breese, IL 62230-4000
Other practice location 1
380 S Germantown Rd
Breese, IL 62230-2088
Phone (618) 526-9311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.013491 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1548895089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 HIGHLINE RD",
"city": "BREESE",
"state": "IL",
"postal_code": "622304000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S BELT W",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622202503",
"telephone_number": "618-277-7700"
}
],
"practiceLocations": [
{
"address_1": "380 S Germantown Rd",
"address_purpose": "LOCATION",
"city": "Breese",
"state": "IL",
"postal_code": "622302088",
"country_code": "US",
"telephone_number": "618-526-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUEHNE",
"first_name": "MARY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.013491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.