Active NPI
Julinnis Morales, OTR/L
- Occupational Therapist
- Mount Vernon, NY
National Provider Identifier
1053789479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018559
- Practice address
- 72 Lexington Ave
Mount Vernon, NY 10552 - Phone
- (845) 729-0214
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 46TR00641900 | NJ | |
| Pediatric Occupational Therapist | 225XP0200X | 018559 | NY | |
| Occupational Therapist | 225X00000X | 018559 | NY | Primary |
Addresses
Primary practice location
72 Lexington Ave
Mount Vernon, NY 10552
Mailing address
47 Gilmore Dr.
Stony Point, NY 10980
Phone (845) 729-0214
Other names 1
- Ms. Julinnis Pena
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 |
|---|---|---|---|
| 46TR00641900 | NJ | MD | Gerontology Occupational Therapist |
| 018559 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1053789479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 GILMORE DR.",
"city": "STONY POINT",
"state": "NY",
"postal_code": "10980",
"telephone_number": "845-729-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 LEXINGTON AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "10552",
"telephone_number": "845-729-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "JULINNIS",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NJ",
"license": "46TR00641900",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "018559",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULINNIS",
"last_name": "PENA",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.