MIRA TODD (OTR/L) – Occupational Therapist, NPI 1225859887

MIRA TODD (OTR/L) is a healthcare provider. based in Chesterfield, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 2024042229 (MO). The NPI Number for MIRA TODD (OTR/L) is 1225859887

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MIRA TODD (OTR/L)
NPI
1225859887
Phone
(636) 223-5700
Address
647 SPIRIT AIRPARK WEST DR STE 101
Enumeration Date
17 October 2024
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3148962205
Graduation Year
2024 (2 years ago)
PAC ID
7416480595
Group Practice PAC ID
3375840028
Professional Enrollment ID
I20241028003095
Address ID
MO631417149CR11330BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

334 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for MIRA TODD (OTR/L)

  • 647 SPIRIT AIRPARK WEST DR STE 101

    CHESTERFIELD, MO 630051032

    Phone: (636) 223-5700

    Type: Mailing

  • 11330 OLIVE BLVD STE 20

    CREVE COEUR, MO 631417275

    Phone: (636) 896-2205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241028003095IOccupational Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375840028View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeIL
-MO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Can I cross-check MIRA TODD (OTR/L) using NPI 1225859887?
NPI 1225859887 belongs to MIRA TODD (OTR/L); compare other details if you need extra assurance.
Is there an active status for MIRA TODD (OTR/L)?
For scheduling context, MIRA TODD (OTR/L) is shown as active in the registry.
What kind of doctor is MIRA TODD (OTR/L)?
MIRA TODD (OTR/L) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is MIRA TODD (OTR/L) registered?
Use Chesterfield, Missouri as the headline location for MIRA TODD (OTR/L) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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