Active NPI
Sue Mulholland
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1164690079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5183
- Practice address
- 2935 S Recker Rd
Gilbert, AZ 85295-7846 - Phone
- (480) 279-7032
- NPI assigned
- Feb 13, 2008
- 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 | 5183 | AZ | Primary |
Addresses
Primary practice location
2935 S Recker Rd
Gilbert, AZ 85295-7846
Mailing address
2935 S Recker Rd
Gilbert, AZ 85295-7846
Phone (480) 279-9032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5183 | AZ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Speech-Language Therapy Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1861563223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1164690079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 S RECKER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957846",
"telephone_number": "480-279-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 S RECKER RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957846",
"telephone_number": "480-279-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.