Mary M Ross

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003366 Issued in MO

Practice address

Sherbrooke Village
4005 Ripa Ave
St. Louis, MO 63125

Phone

(314) 544-1111

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary M Joos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1861957185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 WILLOW BROOK CV APT 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464964",
            "telephone_number": "314-303-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHERBROOKE VILLAGE",
            "address_2": "4005 RIPA AVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-544-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JOOS",
            "middle_name": "M",
            "credential": "OTR - IL/MO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Levy Ross, DO
• Keisha Suenelle Ross, PH.D.
• Kelly L Ross, MD
• Lisa Marie Ross, MSW LCSW
• Lisa R Ross, MD
• McKayla Ross
• Michelle Tomlin Ross
• Rhea J Ross, PTA
• Rhonda Ross
• Richard Alan Ross, RPH

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.