Active NPI
Edith Marcia Sample, OTR/L
- Physical Rehabilitation Occupational Therapist
- Marshfield, MO
National Provider Identifier
1932485547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 002548
- Practice address
- 800 S White Oak Rd
Marshfield, MO 65706-2231 - Phone
- (417) 468-2890
- NPI assigned
- Oct 26, 2011
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 002548 | MO | Primary |
Addresses
Primary practice location
800 S White Oak Rd
Marshfield, MO 65706-2231
Mailing address
800 S White Oak Rd
Marshfield, MO 65706-2231
Phone (918) 961-1162
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002548 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1932485547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S WHITE OAK RD",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657062231",
"telephone_number": "918-961-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S WHITE OAK RD",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657062231",
"telephone_number": "417-468-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "EDITH",
"middle_name": "MARCIA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MO",
"license": "002548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.