Individual provider Active NPI

Marie E Fightmaster, OT

  • Occupational Therapist
  • Edgewood, KY
National Provider Identifier
1801886767
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4089 Issued in KY
Practice address
560 South Loop Rd
Edgewood, KY 41017
Phone
(859) 301-5600
Fax
(859) 301-5669
NPI assigned
Oct 24, 2005
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4089 KY Primary
Hand Occupational Therapist 225XH1200X OT004089 OH

Addresses

Primary practice location

560 South Loop Rd
Edgewood, KY 41017

Mailing address

PO Box 6031
Cincinnati, OH 45270-6031
Phone (513) 557-4270

Other practice location 1

8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 527-6414

Other practice location 2

3950 Red Bank Rd
Cincinnati, OH 45227-3429
Phone (513) 272-4011

Other practice location 3

10496 Montgomery Rd Ste 101
Montgomery, OH 45242-5220
Phone (513) 792-7936

Other practice location 4

6480 Harrison Ave
Cincinnati, OH 45247-7961
Phone (513) 744-5214

Other identifiers 1

IdentifierTypeStateIssuer
8800052600MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003513 OH Practitioner - Occupational Therapist in Private Practice 8729034327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4089KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Nov 6, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Nov 6, 2023 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine Occupational Therapist Past Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Past Accepting new patients

Locations

3950 Red Bank Rd
Cincinnati, OH 45227
Phone (513) 246-8840

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 100
Cincinnati, OH 45247

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

10496 Montgomery Rd
Ste 101
Montgomery, OH 45242
Phone (513) 792-7936

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: marie.fightmaster.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1801886767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6031",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452706031",
            "telephone_number": "513-557-4270",
            "fax_number": "513-557-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SOUTH LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-301-5600",
            "fax_number": "859-301-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 Liberty Way",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692519",
            "country_code": "US",
            "telephone_number": "513-527-6414",
            "fax_number": "513-860-0713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Red Bank Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452273429",
            "country_code": "US",
            "telephone_number": "513-272-4011",
            "fax_number": "513-271-0172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10496 Montgomery Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452425220",
            "country_code": "US",
            "telephone_number": "513-792-7936",
            "fax_number": "513-247-0348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6480 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477961",
            "country_code": "US",
            "telephone_number": "513-744-5214",
            "fax_number": "513-751-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIGHTMASTER",
        "first_name": "MARIE",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "4089",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "OT004089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8800052600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.