Active NPI
Mary Laura Ricker, OTR
- Occupational Therapist
- Prospect, KY
National Provider Identifier
1679744882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000646A
- Practice address
- 6608 Harrods View Cir
Prospect, KY 40059-9421 - Phone
- (317) 490-2024
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000646A | IN | Primary |
| Pediatric Occupational Therapist | 225XP0200X | KY-R5944 | KY | |
| Pediatric Occupational Therapist | 225XP0200X | 5201008592 | MI |
Addresses
Primary practice location
6608 Harrods View Cir
Prospect, KY 40059-9421
Mailing address
6608 Harrods View Cir
Prospect, KY 40059-9421
Phone (317) 490-2024
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 |
|---|---|---|---|
| 31000646A | IN | MD | Occupational Therapist |
| KY-R5944 | KY | MD | Pediatric Occupational Therapist |
| 5201008592 | MI | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1679744882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 HARRODS VIEW CIR",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599421",
"telephone_number": "317-490-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 HARRODS VIEW CIR",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599421",
"telephone_number": "317-490-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "MARY",
"middle_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000646A",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "KY",
"license": "KY-R5944",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MI",
"license": "5201008592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.