Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Macy Marie Koetters

Individual provider Occupational Therapist · NPI 1760253595

Macy Marie Koetters is an Occupational Therapist in Private Practice in Parkville, Missouri. Qualified in 2023, 3 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024

Practice location Address checks out

6264 Lewis Dr Ste 100
Parkville, MO 64152-3603
Phone: (816) 587-8001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2024001149 (MO)

Record details

NPI number1760253595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Parkville