Active NPI
Mai Tong Thao, O.T.R/L
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1669601399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103628
- Practice address
- 445 Galtier St
Saint Paul, MN 55103-2358 - Phone
- (651) 224-1848
- NPI assigned
- Jul 1, 2009
- Last updated
- Jul 1, 2009
- 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 | 103628 | MN | Primary |
Addresses
Primary practice location
445 Galtier St
Saint Paul, MN 55103-2358
Mailing address
5959 Candace Ave
Inver Grove Heights, MN 55076-4487
Phone (651) 270-3562
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 |
|---|---|---|---|
| 103628 | MN | MD | Occupational Therapist |
Interoperability endpoints
- mthao168536@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1669601399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 CANDACE AVE",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550764487",
"telephone_number": "651-270-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 GALTIER ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032358",
"telephone_number": "651-224-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAO",
"first_name": "MAI",
"middle_name": "TONG",
"credential": "O.T.R/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.