IndividualActive
Mary Mcdonald, COTA
NPI 1790116275 · Pediatric Occupational Therapist · Eagle River, AK
Provider details
- NPI number
- 1790116275
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- PHY T 2675 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12110 Business Blvd
Suite 6 Pmb 413
Eagle River, AK 99577-7725
Phone: (907) 317-9349
Fax: (866) 628-8601
Street-level locationGet directions
Mailing address
4255 Polk Rd
Boonville, IN 47601-8056
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2013-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.