NPIMap

Individual provider Active NPI

Mary Ann Roth-Wyrick, O.T.

  • Occupational Therapist
  • Natchez, MS
National Provider Identifier
1932347259
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2374 Issued in MS
Practice address
55 Sergeant Prentiss Dr
Suite 8
Natchez, MS 39120-4782
Phone
(601) 446-8764
Fax
(601) 446-8745
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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 OT2374 MS Primary

Addresses

Primary practice location

55 Sergeant Prentiss Dr
Suite 8
Natchez, MS 39120-4782

Mailing address

55 SGT Prentiss Dr
Suite 8
Natchez, MS 39120-4782
Phone (601) 446-8764

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natchez Rehab & Sports Specialists 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1932347259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "SUITE 8",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-446-8764",
            "fax_number": "601-446-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SERGEANT PRENTISS DR",
            "address_2": "SUITE 8",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-446-8764",
            "fax_number": "601-446-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH-WYRICK",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.