MARY A MEISMER (NPI# 1174531370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174531370 |
| Entity Type | Individual |
| Full Name | MARY A MEISMER |
| Credential | OTR/L, CHT (NBCOT) |
| Practice Address |
1111 Trinity Ln Suite 111 Bloomington IL 61704-8111 |
| Practice Telephone | 3096636461 |
| Practice Fax Number | 3096618107 |
| Mailing Telephone | 3096636461 |
| Mailing Fax Number | 3096618107 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 056000370 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
056000370 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 056.000370 | 01 |
| Street Address |
1111 TRINITY LN SUITE 111 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471769 | Krista J. Sheppard | Physical Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2005-07-20 |
| 1376168005 | Kory David Tieman | Physical Therapist | 1111 Trinity Ln, Bloomington, IL 61704-8111 | 2020-06-09 |
| 1750892766 | Twin Cities Medical Equipment LLC | Orthopaedic Surgery | 1111 Trinity Ln, Bloomington, IL 61704-8111 | 2017-10-17 |
| 1558800656 | Darren M Sawyer | Nurse Practitioner | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-02-22 |
| 1053850495 | Alissa Recker | Physical Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-02-17 |
| 1669918009 | Bloomington Medical Distribution LLC | Durable Medical Equipment & Medical Supplies | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2017-01-09 |
| 1255710885 | Christopher Mygatt | Physician Assistant | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2015-05-28 |
| 1801224605 | Alex W Frantz | Physician Assistant | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2013-10-15 |
| 1659546422 | Holly D Wickenhauser | Specialist/Technologist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2008-04-23 |
| 1720279409 | Kimberly A. Keller | Occupational Therapist | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452026 | Julia Mcbrien | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431 | 2018-10-02 |
| 1821508433 | Adam Jansen | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-10-09 |
| 1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
| 1255658241 | Erin Christine Hanrahan | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-04-29 |
| 1568584092 | Dina Marie Hirsch | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2007-04-04 |
| 1073580502 | Mary Rose Nordlie | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-03-03 |
| 1558340141 | Nancy Tokar | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551142 | Brian P Karabin | Occupational Therapist | 901 Biesterfield Rd # 320, Elk Grove Vlg, IL 60007-3392 | 2019-11-01 |
| 1306403076 | Michael Cernivec | Occupational Therapist | 1009 State Route 22, Fox River Grove, IL 60021-1998 | 2019-05-28 |
| 1689169971 | Jill Hecht | Occupational Therapist | 901 Medical Park Dr Ste 100, Effingham, IL 62401-2191 | 2018-06-28 |
| 1508009762 | Hand Therapy of Lasalle County, Inc. | Occupational Therapist | 511 S Ottawa St, Earlville, IL 60518-8005 | 2009-04-16 |
| 1972764249 | Denise Renee Dumont-meyer | Occupational Therapist | 3739 W Elm St, Mchenry, IL 60050-4372 | 2008-06-19 |
| 1982886628 | Kimberly Ann Beaupre | Occupational Therapist | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2007-12-05 |
| 1487790994 | Deborah Jenski Lotta | Occupational Therapist | 515 W Algonquin Road Suite 110, Arlingotn Heights, IL 60005 | 2007-01-30 |
| 1194896050 | Arun Sharma | Occupational Therapist | 14466 Pinewood Dr, Orland Park, IL 60467-7112 | 2006-11-13 |
| 1790854693 | Barbara Jacobs Raff | Occupational Therapist | 77 North Airlite St, Elgin, IL 60123 | 2006-11-06 |
| 1376637595 | Arlene Marie Piper | Occupational Therapist | 2001 Midwest Road, Suite Ll44 Oakbrook Hand Rehabilitation, Oakbrook, IL 60523-1343 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.