Individual provider Active NPI

Jane Allison McQuitty

  • Occupational Therapist
  • Chesterfield, MO
National Provider Identifier
1962544833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001178 Issued in MO
Practice address
15089 Manor Creek Dr
Chesterfield, MO 63017-7717
Phone
(636) 537-5410
Fax
(636) 537-5410
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 001178 MO Primary

Addresses

Primary practice location

15089 Manor Creek Dr
Chesterfield, MO 63017-7717

Mailing address

3520 Summerlyn Dr
Saint Louis, MO 63129-2358
Phone (314) 487-7405

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

LicenseStateTypeSpecialty
001178MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962544833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 SUMMERLYN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292358",
            "telephone_number": "314-487-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15089 MANOR CREEK DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177717",
            "telephone_number": "636-537-5410",
            "fax_number": "636-537-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUITTY",
        "first_name": "JANE",
        "middle_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "001178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

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.

Verify at the official NPI Registry.