Individual provider Active NPI

Mitzi Shea Mostella, OTR/L

  • Occupational Therapist
  • Guntersville, AL
National Provider Identifier
1295764991
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1914 Issued in AL
Practice address
501A Blount Ave
Guntersville, AL 35976-1501
Phone
(256) 486-9478
NPI assigned
Jul 3, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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 1914 AL Primary

Addresses

Primary practice location

501A Blount Ave
Guntersville, AL 35976-1501

Mailing address

501A Blount Ave
Guntersville, AL 35976-1501
Phone (256) 486-9478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000286 AL Practitioner - Occupational Therapist in Private Practice 0446287171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enhanced Speech Therapy Services LLCGroup PAC ID 7517381460, 3 clinicians

Practice addresses (Care Compare)

2325 Henry St
Guntersville, AL 35976-1867
Phone (256) 486-9478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1914ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Speech Therapy Services, LLC Occupational Therapist CurrentSince Sep 1, 2020 Accepting new patients
Complete Systems Inc Past Accepting new patients
Occupational Therapy Services Unlimited LLC Occupational Therapist Past Accepting new patients

Locations

2325 Henry St
Guntersville, AL 35976
Phone (256) 486-9478

501 Blount Ave
#A
Guntersville, AL 35976
Phone (256) 486-9478

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1295764991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501A BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761501",
            "telephone_number": "256-486-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761501",
            "telephone_number": "256-486-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLA",
        "first_name": "MITZI",
        "middle_name": "SHEA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.