Individual provider Active NPI

Cecilia Mahle, MS, OTR/L CBIS

  • Occupational Therapist
  • Gwynn Oak, MD
National Provider Identifier
1003388125
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07873 Issued in MD
Practice address
2200 Kernan Dr
Gwynn Oak, MD 21207-6665
Phone
(410) 448-6302
NPI assigned
Dec 31, 2018
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07873 MD Primary

Addresses

Primary practice location

2200 Kernan Dr
Gwynn Oak, MD 21207-6665

Mailing address

3 Ruxview CT Apt 301
Towson, MD 21204-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
07873MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1003388125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RUXVIEW CT APT 301",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLE",
        "first_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.