Lillian Marie McNultyl, OTR/L

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

002628 Issued in OH

Practice address

4533 Park Ave
Parkhaven Home
Ashtabula, OH 44004-6930

Phone

(888) 796-3789

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1003079161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MILLRIDGE RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433114",
            "telephone_number": "440-995-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 PARK AVE",
            "address_2": "PARKHAVEN HOME",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046930",
            "telephone_number": "888-796-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTYL",
        "first_name": "LILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OH",
            "license": "002628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michell McDiffett, PA-C
• Helen A McKinney
• Shonene McLaughlin
• Haylee McMahon, CDCA
• Deborah Mary McNeil, RN
• Samantha Rae Meabon, PA-C
• Karen Mead
• Meadow Falls Saybrook Opco LLC
• Medical Oncology Associates, Inc.
• Arelys Medina, PHARMACY TECHNICIAN

• Neurorehabilitation Occupational Therapist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Neurorehabilitation Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.