Joleen Mitaly, OT
Individual provider Active NPI Occupational Therapist · Windsor, VT
NPI 1457080822 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1457080822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3324 (NH)
- Practice address
- 49 Cedar Hill Dr
Windsor, VT 05089-9470 - Phone
- (207) 837-5734
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4144 | ME | MD | Occupational Therapist |
| 3324 | NH | MD | Occupational Therapist |
| 072.0134422 | VT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4144 | ME | |
| Occupational Therapist | 225X00000X | 072.0134422 | VT | |
| Occupational Therapist | 225X00000X | 3324 | NH | Yes |
Addresses
Primary practice location
49 Cedar Hill Dr
Windsor, VT 05089-9470
Mailing address
PO Box 233
Ascutney, VT 05030-0233
Other providers in Windsor, VT
- Karen D McGinty
- Jeremy C McWhorter
- Caitlin Miller
- Emily Anne Miller
- Letha E Mills
- Mackenzie Ryan Monahan
- Cecily M. Monro
- Heather Lynn Morse
- Erica M Mullane
- Owen Murray
All providers in Windsor, VT · Occupational Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.