Sydney Claire Mungle, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A2056 Issued in AR

Practice address

407 Carson Street
Hot Springs National Park, AR 71901

Phone

(501) 624-6468

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Step, Inc.

  dba Park Place 1 Group Home, Park Place 2 Group Home

  • Developmentally Disabled Services Day Training Agency
  • Hot Springs, AR
  • NPI 1922157403
  NPD (past)
• South West Pediatric Therapy

  • Occupational Therapy Assistant
  • Hot Springs, AR
  • NPI 1457090466
  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1013742113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HIGHWAY 298",
            "city": "JESSIEVILLE",
            "state": "AR",
            "postal_code": "71949",
            "telephone_number": "501-226-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CARSON STREET",
            "city": "HOT SPRINGS NATIONAL PARK",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-624-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Main St Ste L",
            "address_purpose": "LOCATION",
            "city": "Hot Springs National Park",
            "state": "AR",
            "postal_code": "719134964",
            "country_code": "US",
            "telephone_number": "501-232-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGLE",
        "first_name": "SYDNEY",
        "middle_name": "CLAIRE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lewis, RDH
• Takashi M Matlock
• Paula L. Mercer, L.C.S.W.
• Christy Leah Mitchell, AU.D.
• Ayanda Miya
• National Park College (National Park College Athletics)
• James R. Neil, D.C.
• Shurmekua Nickleberry
• Shelby Kaye Ortiz, APRN
• Goldie Karol Otwell, LPC

• Occupational Therapy Assistant in Hot Springs National Park, AR
• Providers in Hot Springs National Park, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.