MK Therapy Co

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2289 Issued in AR

Legal business name

MK THERAPY CO

Practice address

149 Henry St
Marion, AR 72364-1610

Phone

(870) 278-4332

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Coleman Killgore, OTR/L

Title

Owner

Phone

(870) 278-4332

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

MK Therapy Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MK Therapy Co.

  • Occupational Therapy Assistant
  • Hernando, MS
  • NPI 1497102321
  NPD tax ID

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1669731907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HENRY ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641610",
            "telephone_number": "870-278-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HENRY ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641610",
            "telephone_number": "870-278-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "KILLGORE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-278-4332",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191434742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Miller, LPEI
• Mashhud M Mirza, M.D.
• Mitchell Family Medicine, LLC
• Aarin Austin Mitchell, LPC
• Aaron Jay Mitchell, M.D.
• Elizabeth Moise, RN
• Tracey Moore, CASE MANAGER
• Jessica Morgan
• Dekara Morris, MHPP
• Motivational Inspirational Transforming Counseling and Consulting LLC

• Occupational Therapist in Marion, AR
• Providers in Marion, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.