Jason David Mahilo, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005875A Issued in IN

Practice address

7250 Arthur Blvd
Merrillville, IN 46410-3766

Phone

(440) 213-0106

Fax

(440) 649-7446

NPI assigned

Aug 21, 2013

Last updated

Sep 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1164856530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 N BROADWAY ST APT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134854",
            "telephone_number": "440-213-0106",
            "fax_number": "440-649-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "440-213-0106",
            "fax_number": "440-649-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHILO",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010065",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005875A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sia Magnus
• Janine Kabir Magura
• Mark David Magura, D.D.S.,M.S.D.
• Maher Ajam, M.D., P.C.
• Elizabeth Maher, MA
• Cory Mahler, MD
• Morgan Ashley Mahler, BS
• Decurea Mahone
• Megan Mahoney
• Major Hospital (Spring Mill Health Campus)

• Occupational Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.