Marney Mongillo, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002040 Issued in CT

Practice address

167 Four Mile Rd
West Hartford, CT 06107-3022

Phone

(860) 561-8535

NPI assigned

Dec 13, 2012

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

Other names 1

• Mrs. Marney Mongillo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1275879520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 FOUR MILE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073022",
            "telephone_number": "860-561-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 FOUR MILE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073022",
            "telephone_number": "860-561-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGILLO",
        "first_name": "MARNEY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNEY",
            "last_name": "MONGILLO",
            "prefix": "MRS.",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lydia Molnar
• Edward V. Molyneaux III, D.M.D.
• Momentum Counseling & Wellness
• Elizabeth A Mongillo-Herman, PH.D.
• Deborah Christine Mongillo, MA
• Monica H. Cipes DMD PC
• Margaret Holland Monos
• Denise Anne Monte, M.S
• Moonah Inc
• Marybeth Aucoin Moore, PA-C, MPH

• Occupational Therapist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.