Individual provider Active NPI

Veronica Maria Walsh Mingolelli, MS, OTR/L

  • Occupational Therapist
  • Cumberland, MD
National Provider Identifier
1164790077
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC006864L Issued in PA
Practice address
15701 Bottle Run Rd NE
Cumberland, MD 21502-6736
Phone
(301) 338-2190
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC006864L PA Primary

Addresses

Primary practice location

15701 Bottle Run Rd NE
Cumberland, MD 21502-6736

Mailing address

15701 Bottle Run Rd NE
Cumberland, MD 21502-6736
Phone (301) 338-2190

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC006864LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1164790077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 BOTTLE RUN RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026736",
            "telephone_number": "301-338-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 BOTTLE RUN RD NE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026736",
            "telephone_number": "301-338-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGOLELLI",
        "first_name": "VERONICA",
        "middle_name": "MARIA WALSH",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006864L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.