Nellie Alexandra Muscarello, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9583984-4201 Issued in UT

Practice address

90 Albion Village Way
Sandy, UT 84070-4013

Phone

(801) 619-3670

Fax

(801) 619-3679

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nellie Alexandra Fauver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1194077966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8754 S 280 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701606",
            "telephone_number": "801-560-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670",
            "fax_number": "801-619-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARELLO",
        "first_name": "NELLIE",
        "middle_name": "ALEXANDRA",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009896",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "9583984-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "FAUVER",
            "middle_name": "ALEXANDRA",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.