Jessica Mueckl, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2016039239 Issued in MO

Practice address

693 Decker LN
Creve Coeur, MO 63141-6766

Phone

(314) 997-4532

NPI assigned

Feb 28, 2017

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Bayens Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Washington, MO
  • NPI 1407487366

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1932649647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 W 79TH PL APT 1203",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041486",
            "telephone_number": "314-681-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 DECKER LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416766",
            "telephone_number": "314-997-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10560 Old Olive Street Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631415916",
            "country_code": "US",
            "telephone_number": "314-567-4707",
            "fax_number": "314-567-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11661 Granada St",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111473",
            "country_code": "US",
            "telephone_number": "913-703-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUECKL",
        "first_name": "JESSICA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03367",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2016039239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAYENS",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan M Moore, MSN, AGACNP, FNP
• Nathan Moore, APRN-C
• Mary Lee Morganite, AGNP
• Debra Morlock, MSW
• Alison Roth Morrison, PNP
• Machalle Akhtar Mughal
• Anjum Mughni, DDS
• Michael Whigger Mullins, R.N.
• Sean P Mulqueeny, OD
• Jada Rosemary Mutic, LPC

• Occupational Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.