Active NPI
Teri Kelly Mauler, OTRL
- Occupational Therapist
- Cortland, NY
National Provider Identifier
1407947948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0044321
- Practice address
- 274 Tompkins Street
Cortland, NY 13045 - Phone
- (607) 756-9886
- Fax
- (607) 756-8939
- NPI assigned
- Sep 28, 2006
- 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 | 0044321 | NY | Primary |
Addresses
Primary practice location
274 Tompkins Street
Cortland, NY 13045
Mailing address
274 Tompkins Street
Cortland, NY 13045
Phone (607) 756-9886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02227705 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0044321 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407947948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 TOMPKINS STREET",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-756-9886",
"fax_number": "607-756-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 TOMPKINS STREET",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-756-9886",
"fax_number": "607-756-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULER",
"first_name": "TERI",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0044321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02227705",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.