Carson Mumma, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.009831 Issued in IL

Practice address

2119 W Belmont Ave
1C
Chicago, IL 60618-6463

Phone

(717) 572-5899

NPI assigned

Jun 26, 2013

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

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1124468830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 W BELMONT AVE",
            "address_2": "1C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186463",
            "telephone_number": "717-572-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 W BELMONT AVE",
            "address_2": "1C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186463",
            "telephone_number": "717-572-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMA",
        "first_name": "CARSON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surafel Mulugeta, PHARMD
• Holly B Mulvenna, M.A., CCC-SLP
• Ashley Ann Mulvihill, M.D.
• Maria Mulvihill
• Cynthia Mumani, DPT
• Dannah Mummery, MS, RD, LDN
• Audrie L Mumphery, MS, RDN, LDN, CFPM
• Tenilya S Mumphus, LCSW
• Mun & Mind Therapy PLLC
• Akhilesh Munagala, MD

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.