Mimi Mamo Tessema, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014080 Issued in NY

Practice address

190 Garth Rd Apt 6Q
Scarsdale, NY 10583-3817

Phone

(917) 528-0607

NPI assigned

Dec 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sensory Filters, LLC

  • Developmental Disabilities Clinic/Center
  • Scarsdale, NY
  • NPI 1528796463
  NPD Authorized official

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1295970648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GARTH RD APT 6Q",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833817",
            "telephone_number": "917-528-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GARTH RD APT 6Q",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833817",
            "telephone_number": "917-528-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSEMA",
        "first_name": "MIMI MAMO",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yitzchak Rahm Teeter, LMSW
• Andrew Tepper, PHD, CNS
• Wendy A Terra, LCSW-R
• Terranova Medical, PLLC
• Santo Primo Terranova, D.O
• Carol E Tetenbaum, M.D.
• The Ableities Foundation
• The Heinlein Group Inc
• The Homestead Family Chiropractic, PLLC
• The Lower West Side Housing Service Corporation

• Occupational Therapist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.