Individual provider Active NPI

Micayla Koonce

  • Occupational Therapist
  • Creve Coeur, MO
National Provider Identifier
1841142262
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2025047706 Issued in MO
Practice address
10332 Old Olive Street Rd
Creve Coeur, MO 63141-5922
Phone
(314) 567-4707
NPI assigned
Feb 10, 2026
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 2025047706 MO Primary

Addresses

Primary practice location

10332 Old Olive Street Rd
Creve Coeur, MO 63141-5922

Mailing address

621 Marian Dr
Dupo, IL 62239-1471
Phone (618) 954-9426

Other practice location 1

235 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 912-4707

Other practice location 2

13131 Tesson Ferry Rd Ste 220
Saint Louis, MO 63128-3887
Phone (314) 756-4707

Other practice location 3

4200 N Cloverleaf Dr
Saint Peters, MO 63376-6436
Phone (636) 922-4700

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

LicenseStateTypeSpecialty
2025047706MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Solutions, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1841142262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MARIAN DR",
            "city": "DUPO",
            "state": "IL",
            "postal_code": "622391471",
            "telephone_number": "618-954-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10332 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415922",
            "telephone_number": "314-567-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630317928",
            "country_code": "US",
            "telephone_number": "314-912-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13131 Tesson Ferry Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283887",
            "country_code": "US",
            "telephone_number": "314-756-4707",
            "fax_number": "314-272-3287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 N Cloverleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766436",
            "country_code": "US",
            "telephone_number": "636-922-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "MICAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2025047706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.