Active NPI
Mary Ellen Kircher Drumm, OTR
- Occupational Therapist
- Madison, WI
National Provider Identifier
1821016759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2555
- Practice address
- 600 Highland Ave
Rehabilitation Therapy -2422
Madison, WI 53792-0001 - Phone
- (608) 263-8060
- Fax
- (608) 262-7679
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2555 | WI | Primary |
Addresses
Primary practice location
600 Highland Ave
Rehabilitation Therapy -2422
Madison, WI 53792-0001
Mailing address
1913 Keyes Ave
Madison, WI 53711-2007
Phone (608) 259-8341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2555 | Other | WI | OT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821016759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 KEYES AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537112007",
"telephone_number": "608-259-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "REHABILITATION THERAPY -2422",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-263-8060",
"fax_number": "608-262-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMM",
"first_name": "MARY ELLEN",
"middle_name": "KIRCHER",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT",
"identifier": "2555",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.