Individual provider Active NPI

Mary Beth Creighton, M.S., O.T./L

  • Occupational Therapist
  • Street, MD
National Provider Identifier
1801021985
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
02122 Issued in MD
Practice address
811 Saint Anne Dr
Street, MD 21154-1654
Phone
(410) 836-1712
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 02122 MD Primary

Addresses

Primary practice location

811 Saint Anne Dr
Street, MD 21154-1654

Mailing address

811 Saint Anne Drive
Street, MD 21154
Phone (410) 836-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000109 FL Practitioner - Occupational Therapist in Private Practice 6901972850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lymphedema Treatment CenterGroup PAC ID 1658764279, 2 clinicians

Practice addresses (Care Compare)

250 W Indiantown Rd
Suite 106
Jupiter, FL 33458-3549
Phone (561) 781-0516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
02122MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Treatment Center Occupational Therapist CurrentSince Sep 14, 2022 Accepting new patients
Upper Chesapeake Health Rehabilitation Services, LLC PastSince Oct 1, 2007 Accepting new patients

Locations

250 W Indiantown Rd
Ste 106
Jupiter, FL 33458
Phone (561) 722-7510

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1801021985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SAINT ANNE DRIVE",
            "city": "STREET",
            "state": "MD",
            "postal_code": "21154",
            "telephone_number": "410-836-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SAINT ANNE DR",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541654",
            "telephone_number": "410-836-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., O.T./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Street, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.