Active NPI
Mariela Villanueva-Silva, OTR
- Occupational Therapist
- Peachtree City, GA
National Provider Identifier
1316712987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 507 Colebrook Way
Peachtree City, GA 30269-1294 - Phone
- (939) 397-7596
- NPI assigned
- Nov 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
507 Colebrook Way
Peachtree City, GA 30269-1294
Mailing address
507 Colebrook Way
Peachtree City, GA 30269-1294
Phone (939) 397-7596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240412003133 | GA | Practitioner - Occupational Therapist in Private Practice | 4587003322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700697600000",
"number": "1316712987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 COLEBROOK WAY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691294",
"telephone_number": "939-397-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 COLEBROOK WAY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691294",
"telephone_number": "939-397-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA-SILVA",
"first_name": "MARIELA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-23",
"last_updated": "2023-11-23",
"certification_date": "2023-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.