Unknown Individual – Occupational Therapist, NPI 1982758165

Unknown Individual is a healthcare provider. based in Saint louis, Missouri. specializing in Occupational Therapist. They hold a License No. 000400 (MO). The NPI Number for Unknown Individual is 1982758165

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982758165
Phone
(314) 286-1669
Address
4921 PARKVIEW PL
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143627398
Graduation Year
1984 (42 years ago)
PAC ID
1254383185
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20050615000720

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 4921 PARKVIEW PL

    STE 6F

    SAINT LOUIS, MO 631101032

    Phone: (314) 286-1669

    Fax: (314) 747-3662

    Type: Location

  • 4444, Forest Park Avenue, Central West End, City of Saint Louis, Missouri, 63108, United States

    CB 8505

    SAINT LOUIS, MO 631082212

    Phone: (314) 286-1669

    Fax: (314) 286-1601

    Type: Mailing

  • South Outer 40, Chesterfield, Saint Louis County, Missouri, 63035, United States

    STE 120

    CHESTERFIELD, MO 630175784

    Phone: (314) 362-7398

    Fax: (314) 514-3635

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19927$0
97165Evaluation for occupational therapy, typically 30 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1982758165; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Saint Louis, Missouri for Unknown Individual; expand the address list for detail.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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