Active NPI
Mary M Towell, OTRL
- Occupational Therapist
- Temecula, CA
National Provider Identifier
1881897007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 312
- Practice address
- 45631 Masters Dr
Temecula, CA 92592-6013 - Phone
- (951) 308-1837
- Fax
- (951) 308-1837
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 312 | CA | Primary |
Addresses
Primary practice location
45631 Masters Dr
Temecula, CA 92592-6013
Mailing address
45631 Masters Dr
Temecula, CA 92592-6013
Phone (951) 308-1837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0T0003120 | Other | CA | BLUE SHIELD OF CA |
| PJ0820 | Other | CA | SAN DIEGO INLAND REGIONAL |
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 |
|---|---|---|---|
| 312 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881897007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45631 MASTERS DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926013",
"telephone_number": "951-308-1837",
"fax_number": "951-308-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45631 MASTERS DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926013",
"telephone_number": "951-308-1837",
"fax_number": "951-308-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWELL",
"first_name": "MARY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "0T0003120",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN DIEGO INLAND REGIONAL",
"identifier": "PJ0820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
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.