NPIMap

Individual provider Active NPI

Mansi Dalal, OTD, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1447550751
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60186466 Issued in WA
Practice address
12835 NE Bel Red Rd Ste 303
Bellevue, WA 98005-2625
Phone
(323) 336-1991
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 OT60186466 WA Primary

Addresses

Primary practice location

12835 NE Bel Red Rd Ste 303
Bellevue, WA 98005-2625

Mailing address

12835 NE Bel Red Rd Ste 303
Bellevue, WA 98005-2625
Phone (323) 336-1991

Other practice location 1

2445 140th Ave NE
Suite B105
Bellevue, WA 98005-1879
Phone (425) 644-6328

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 4256157771 Mansi Dalal OTD OTR-L PLLC

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
OT60186466WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mansi Dalal Otd Otr-L PLLC Occupational Therapist CurrentSince Sep 11, 2022 Accepting new patients
Mosaic Rehabilitation Inc. Past Accepting new patients
Mosaic Rehabilitation, Inc Past Accepting new patients

Locations

12835 NE Bel Red Rd
Ste 303
Bellevue, WA 98005
Phone (425) 615-7771

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1447550751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 NE BEL RED RD STE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052625",
            "telephone_number": "323-336-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 NE BEL RED RD STE 303",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052625",
            "telephone_number": "323-336-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 140th Ave NE",
            "address_2": "Suite B105",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980051879",
            "country_code": "US",
            "telephone_number": "425-644-6328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAL",
        "first_name": "MANSI",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60186466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "4256157771",
            "affiliation": "Y",
            "affiliationName": "Mansi Dalal OTD OTR-L PLLC",
            "address_1": "12835 NE Bel Red Rd Ste 303",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980052625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.