Active NPI
Wendi Woods Mulligan, OTR/L
- Occupational Therapist
- Cornelius, NC
National Provider Identifier
1093904138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9238
- Practice address
- 17720 Largo Place
Cornelius, NC 28031 - Phone
- (413) 335-5343
- Fax
- (704) 459-5074
- NPI assigned
- Oct 15, 2007
- Last updated
- Jun 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9238 | MA | Primary |
Addresses
Primary practice location
17720 Largo Place
Cornelius, NC 28031
Mailing address
20311 Chartwell Center Drive
P.O. Box 2012
Cornelius, NC 28031
Phone (413) 335-5343
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 |
|---|---|---|---|
| 9238 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1093904138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20311 CHARTWELL CENTER DRIVE",
"address_2": "P.O. BOX 2012",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "413-335-5343",
"fax_number": "704-459-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 LARGO PLACE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "413-335-5343",
"fax_number": "704-459-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "WENDI",
"middle_name": "WOODS",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "9238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.