Mary Annette Mackey, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2008015717 Issued in MO

Practice address

10725 Lawrence 1115
Mount Vernon, MO 65712-7437

Phone

(417) 466-7354

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1689070773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 LAWRENCE 1115",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657127437",
            "telephone_number": "417-466-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 LAWRENCE 1115",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657127437",
            "telephone_number": "417-466-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "MARY",
        "middle_name": "ANNETTE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2008015717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Long
• Lonnie R. Walters, DC, PC (Walters Chiropractic)
• Jessica Luney, MASSAGE THERAPIST
• Lux Med Trnsport
• Cielo Marie Maca, MD
• Shawn W Macklin
• Mark V Walters DC PC
• Mark V. Walters DC PC
• Jessica Leigh Martin
• Maximum Function Occupational Therapy LLC

• Occupational Therapy Assistant in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.