Jenna Marie Mueller, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007241 Issued in MI

Practice address

14145 Simone Dr
Shelby TWP, MI 48315-3228

Phone

(586) 566-6282

Fax

(586) 566-6280

NPI assigned

Apr 14, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Developing Connections, Inc.

  • Multi-Specialty Clinic/Center
  • Shelby Township, MI
  • NPI 1023236122
  NPD (past)

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1194041244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6282",
            "fax_number": "586-566-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 SIMONE DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153228",
            "telephone_number": "586-566-6282",
            "fax_number": "586-566-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "COTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• India Moore
• Mor/Sun Shelby Senior Living, LLC
• Vittorio M Morreale, M.D.
• Sarah Alexandria Morris
• Amanda Elizabeth Mrachina, COTA/L
• Alicia Ann Murphy, FNP-C
• Maryam Imad Naeem, DDS
• Rosni Nair, FNP
• Santhosh Krishnankutty Nair, RPT
• Ara Nazarian, DENTIST

• Occupational Therapy Assistant in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.