Connie Mudarra, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1246 Issued in FL

Practice address

7355 Azalea Cove Cir
Orlando, FL 32807

Phone

(407) 595-0874

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1144239377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 AZALEA COVE CIR # 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076214",
            "telephone_number": "407-228-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 AZALEA COVE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32807",
            "telephone_number": "407-595-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDARRA",
        "first_name": "CONNIE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT1246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norah Mubarak, DO
• Sherin Nazme Mubarak, PA
• Mubashir a Chaudhry DMD PLLC (Orlando Pediatric Dentistry)
• Nailah Mubin
• David Anthony Mucci, M.D.
• Muddrose Holdings Inc (HomeWell Care Services)
• Dharani Mudugal, M.D.
• Brianna V. Mueckay
• Michael James Muehlberger, MD
• Arlynn W Mueller, BSA RN-BC

• Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.