Macy Marie Koetters

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2024001149 Issued in MO

Practice address

6264 Lewis Dr Ste 100
Parkville, MO 64152-3603

Phone

(816) 587-8001

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1033179510
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1144280603
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Cape Girardeau, MO
  • NPI 1316907884
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1760253595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 LAWRENCE CT",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032218",
            "telephone_number": "913-660-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR STE 100",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523603",
            "telephone_number": "816-587-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETTERS",
        "first_name": "MACY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024001149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Cheri Kiser, M.ED.
• Timothy Joel Kloiber, D.O.
• Maryjane Kluempers, ATC
• Machelle L Knittel, RD, LD
• Joan Kutz Knuth, DDS
• Lee Michael Kremer, M.S.
• Elizabeth Laughlin, PLMFT
• Alicia Lawton, PLPC
• David R Lee, ATC
• Emily Lemmond

• Occupational Therapist in Parkville, MO
• Providers in Parkville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.