Mary Elizabeth Collier, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

133707 Issued in KY

Practice address

72 Lone Oak Dr
Cadiz, KY 42211-6520

Phone

(270) 522-0488

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Trigg County Home Health, Inc.

  dba Caretenders

  • Home Health Agency
  • Cadiz, KY
  • NPI 1770737728
  NPD

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1790035624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 BARNETT RD",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387516",
            "telephone_number": "815-383-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LONE OAK DR",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422116520",
            "telephone_number": "270-522-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009706",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "KY",
            "license": "133707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790035624",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Caretenders",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "72 Lone Oak Dr",
            "city": "Cadiz",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422116520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cadiz Health Facilities LP (Shady Lawn Nursing and Rehabilitation Center)
• Crisann Leigh Chandler, SLP-CCC
• Richard Glenn Clement, R. PH
• Kelly Cloern, PTA
• Terah Nicole Cofield, APRN
• Kenneth Davis, PHARM.D.
• Sally F Denton, LCSW
• Dillon Medical Equipment Inc
• Isabella Erickson
• Jeanine Evans, APRN

• Gerontology Occupational Therapist in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Gerontology Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; 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.