Active NPI
Colin McNulty, OTD, OTR/L; CPT
- Occupational Therapist
- Groveport, OH
National Provider Identifier
1124838677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT013064
- Practice address
- 4400 Marketing PL Ste B
Groveport, OH 43125-9308 - Phone
- (614) 492-2520
- NPI assigned
- Jan 8, 2025
- Sex
- Male
- Sole proprietor
- No
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 | OT013064 | OH | Primary |
Addresses
Primary practice location
4400 Marketing PL Ste B
Groveport, OH 43125-9308
Mailing address
30 Price Ave Unit 412
Columbus, OH 43201-0049
Phone (330) 256-3380
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 |
|---|---|---|---|
| OT013064 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1124838677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PRICE AVE UNIT 412",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432010049",
"telephone_number": "330-256-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 MARKETING PL STE B",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431259308",
"telephone_number": "614-492-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "COLIN",
"credential": "OTD, OTR/L; CPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT013064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.