Individual provider Active NPI

Ariana Musolino, OTA/L

  • Occupational Therapy Assistant
  • Mt Juliet, TN
National Provider Identifier
1003568486
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
3486 Issued in TN
Practice address
368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone
(615) 443-4555
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3486 TN Primary

Addresses

Primary practice location

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206

Mailing address

4636 Lebanon Pike # 118
Hermitage, TN 37076-1316

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ariana@dynamictherapycenter.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1003568486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 LEBANON PIKE # 118",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOLINO",
        "first_name": "ARIANA",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariana@dynamictherapycenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "368 Quarry Loop Rd",
            "city": "MT Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371227206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.