Active NPI
Megan Mottola, OTR/L
- Occupational Therapist
- Petersburg, VA
National Provider Identifier
1003397167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007696
- Practice address
- 250 Flank Rd
Petersburg, VA 23805-9117 - Phone
- (804) 861-2223
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007696 | VA | Primary |
Addresses
Primary practice location
250 Flank Rd
Petersburg, VA 23805-9117
Mailing address
29 Dublin Dr
Ballston Spa, NY 12020-1041
Phone (518) 396-0943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80026512304 | Other | NY | MVP HEALTHCARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119007696 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1003397167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 DUBLIN DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201041",
"telephone_number": "518-396-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FLANK RD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059117",
"telephone_number": "804-861-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTOLA",
"first_name": "MEGAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "80026512304",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.