Individual provider Active NPI

Colleen M Muldowney, MS, OTR/L

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1447263934
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC006225L Issued in PA
Practice address
3602 W San Juan St
Tampa, FL 33629-6922
Phone
(813) 833-0090
NPI assigned
Aug 14, 2006
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC006225L PA Primary

Addresses

Primary practice location

3602 W San Juan St
Tampa, FL 33629-6922

Mailing address

5122 Manchester CT Apt 106
Palm Harbor, FL 34685-6136
Phone (610) 368-9586

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC006225LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Spot Occupational Therapist CurrentSince Apr 26, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1447263934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 MANCHESTER CT APT 106",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346856136",
            "telephone_number": "610-368-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 W SAN JUAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296922",
            "telephone_number": "813-833-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOWNEY",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006225L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.