Monica Mueller

Individual provider Active NPI Occupational Therapist · Halifax, MA

NPI 1265580435 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1265580435
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
8191 (MA)
Practice address
725 Old Plymouth St
Halifax, MA 02338-1253
Phone
(781) 293-5479
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8191MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Visions of Independence, LLC Occupational Therapist Past
since May 19, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8191 MA Yes

Addresses

Primary practice location

725 Old Plymouth St
Halifax, MA 02338-1253

Mailing address

725 Old Plymouth St
Halifax, MA 02338-1253

Other providers in Halifax, MA

All providers in Halifax, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.