Mary Openlander, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00923 Issued in MO

Practice address

338 S Kirkwood Rd
Suite 104B
Kirkwood, MO 63122-6166

Phone

(314) 984-0068

Fax

(314) 984-0338

NPI assigned

Aug 29, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1609060938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S KIRKWOOD RD",
            "address_2": "SUITE 104B",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226166",
            "telephone_number": "314-984-0068",
            "fax_number": "314-984-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S KIRKWOOD RD",
            "address_2": "SUITE 104B",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226166",
            "telephone_number": "314-984-0068",
            "fax_number": "314-984-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPENLANDER",
        "first_name": "MARY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "115373",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5769225",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-01386",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott O'Guin, D.C.
• Marian Ogbuli
• David Lee Ohlms, M.D.
• Terri R. Ohlms, M.S.W., L.C.S.W.
• Halvor Anthony Olsen III, PHARM.D.
• Patrick J. Openlander, PH.D.
• Jessica Nichole Orrick, M.A., LPC
• Laura A Ortmann, MS, CCC-A
• William Ralph Otto, DDS
• Kelly Owen, OTR/L

• Physical Therapist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.