Active NPI
Mary Ann Araneta Cusi, OTRL
- Occupational Therapist
- Desloge, MO
National Provider Identifier
1609908102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2006028421
- Practice address
- 801 Brim St
Desloge, MO 63601-3441 - Phone
- (537) 431-0223
- NPI assigned
- Mar 10, 2007
- Last updated
- Jul 8, 2007
- 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 | 2006028421 | MO | Primary |
Addresses
Primary practice location
801 Brim St
Desloge, MO 63601-3441
Mailing address
214 W 5TH St Ste D-E
Joplin, MO 64801-2501
Phone (573) 915-3085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006028421 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Healthcare-Desloge LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Desloge, MO
- NPI 1629013172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609908102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 5TH ST STE D-E",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012501",
"telephone_number": "573-915-3085",
"fax_number": "417-782-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BRIM ST",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013441",
"telephone_number": "537-431-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSI",
"first_name": "MARY ANN",
"middle_name": "ARANETA",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2006028421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desloge, MO
- Community Care Pharmacy, LLC (Phoenix Home Care Pharmacy)
- Community Care Pharmacy, LLC (Community Care Pharmacy of Desloge)
- Jamie Marie Conway, OTR/L
- Melinda Lee Cromer, LPC
- Julia Faith Culbertson
- Daleco, Inc. (USA Drug #7638)
- Madison Renee Davis, COTA/L
- Desloge Chiropractic Health Center, LLC
- Desloge Vision Center Inc
- Brett Dickinson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.