Active NPI
Jelinda Marie Mrozek
- Occupational Therapy Assistant
- Cincinnati, OH
National Provider Identifier
1437628765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-03011
- Practice address
- 7317 English Garden LN
Cincinnati, OH 45230-4375 - Phone
- (513) 256-9982
- NPI assigned
- Nov 15, 2018
- 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 Therapy Assistant | 224Z00000X | OTA-03011 | OH | Primary |
Addresses
Primary practice location
7317 English Garden LN
Cincinnati, OH 45230-4375
Mailing address
7317 English Garden LN
Cincinnati, OH 45230-4375
Phone (513) 256-9982
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 |
|---|---|---|---|
| OTA-03011 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1437628765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7317 ENGLISH GARDEN LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304375",
"telephone_number": "513-256-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7317 ENGLISH GARDEN LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304375",
"telephone_number": "513-256-9982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZEK",
"first_name": "JELINDA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA-03011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.