Individual provider Active NPI

Charity E Mahlman, COTA

  • Occupational Therapy Assistant
  • Bastrop, TX
National Provider Identifier
1427538867
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0001505 Issued in CO
Practice address
503 Old Austin Hwy
Bastrop, TX 78602-5091
Phone
(512) 321-6220
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 214906 TX
Occupational Therapy Assistant 224Z00000X 0001505 CO Primary

Addresses

Primary practice location

503 Old Austin Hwy
Bastrop, TX 78602-5091

Mailing address

8609 Cureton CV
Austin, TX 78747-3934
Phone (737) 781-2017

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

LicenseStateTypeSpecialty
214906TXMDOccupational Therapy Assistant
0001505COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1427538867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 CURETON CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787473934",
            "telephone_number": "737-781-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OLD AUSTIN HWY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025091",
            "telephone_number": "512-321-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLMAN",
        "first_name": "CHARITY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214906",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "0001505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.