Active NPI
Allison Mulvey, OTR/L
- Occupational Therapist
- Derby, CT
National Provider Identifier
1164074407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004743
- Practice address
- 412 Roosevelt Dr
Derby, CT 06418-1627 - Phone
- (203) 775-0675
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- 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 | 004743 | CT | Primary |
Addresses
Primary practice location
412 Roosevelt Dr
Derby, CT 06418-1627
Mailing address
4 Fairway Dr
Danbury, CT 06811-3249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004743 | Other | CT | CT OT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amulvey@masonicare.org | Direct |
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 |
|---|---|---|---|
| 004743 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1164074407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FAIRWAY DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068113249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 ROOSEVELT DR",
"city": "DERBY",
"state": "CT",
"postal_code": "064181627",
"telephone_number": "203-775-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVEY",
"first_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT OT LICENSE",
"identifier": "004743",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amulvey@masonicare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "412 Roosevelt Dr",
"city": "Derby",
"state": "CT",
"country_code": "US",
"postal_code": "064181627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.