Individual provider Active NPI

Mary Jo Zulli, OTR/L

  • Occupational Therapist
  • Mint Hill, NC
National Provider Identifier
1275779076
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5518 Issued in NC
Practice address
10620 Stone Bunker Dr
Mint Hill, NC 28227-7036
Phone
(704) 771-0051
Fax
(800) 330-4830
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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 5518 NC Primary

Addresses

Primary practice location

10620 Stone Bunker Dr
Mint Hill, NC 28227-7036

Mailing address

10620 Stone Bunker Dr
Mint Hill, NC 28227-7036
Phone (704) 771-0051

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

State licenses

LicenseStateTypeSpecialty
5518NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Rehab Occupational Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1275779076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 STONE BUNKER DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277036",
            "telephone_number": "704-771-0051",
            "fax_number": "800-330-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 STONE BUNKER DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277036",
            "telephone_number": "704-771-0051",
            "fax_number": "800-330-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLI",
        "first_name": "MARY JO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.