Active NPI
Lisa Mrugala, OTR/L
- Occupational Therapist
- Timonium, MD
National Provider Identifier
1336579689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06746
- Practice address
- 2300 Dulaney Valley Rd
Timonium, MD 21093-2739 - Phone
- (410) 252-4500
- NPI assigned
- Nov 23, 2013
- Last updated
- Nov 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 06746 | MD | Primary |
Addresses
Primary practice location
2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Mailing address
1319 Chapel Hill Dr
Baltimore, MD 21237-1805
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06746 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385164800000",
"number": "1336579689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 CHAPEL HILL DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212371805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 DULANEY VALLEY RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932739",
"telephone_number": "410-252-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRUGALA",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-23",
"last_updated": "2013-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.