Active NPI
Sydney Katherine Mulholland, OTD, OTR/L
- Occupational Therapist
- Austin, TX
National Provider Identifier
1114649126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122959
- Practice address
- 9320 Alice Mae LN
Austin, TX 78748-5450 - Phone
- (512) 222-3224
- NPI assigned
- Sep 15, 2022
- 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 | 122959 | TX | Primary |
Addresses
Primary practice location
9320 Alice Mae LN
Austin, TX 78748-5450
Mailing address
1109 N Interstate 35 Apt 620
Austin, TX 78702-2074
Phone (573) 268-4801
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1114649126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 N INTERSTATE 35 APT 620",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022074",
"telephone_number": "573-268-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 ALICE MAE LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485450",
"telephone_number": "512-222-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "SYDNEY",
"middle_name": "KATHERINE",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.