Misty McCullough

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP005811 Issued in PA

Practice address

135 Cherry Run Road
Rimersburg, PA 16248

Phone

(724) 548-2222

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1922414648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHERRY RUN ROAD",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "16248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHERRY RUN ROAD",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "16248",
            "telephone_number": "724-548-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MISTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP005811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Services of Clarion Inc (Rimersburg Medical Center)
• Health Services of Clarion, Inc. (Rimersburg Medical Center)
• Lindsay Kay Hepler, PA-C
• Klingensmith Rimersburg Inc. (Klingensmith's Drug Store #5)
• Klingensmith Rimersburg Inc. (25-1739033)
• Lydi Ann Montgomery, RPH
• Jacqueline Brooks Smith, RN
• Southern Clarion County Volunteer Ambulance Service
• Union School District

• Occupational Therapy Assistant in Rimersburg, PA
• Providers in Rimersburg, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.