Individual provider Active NPI

Lindsay Kiehl Good Mudalel, MOTR/L

  • Occupational Therapist
  • West Chester, PA
National Provider Identifier
1457819989
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015374 Issued in PA
Practice address
715 S Wayne St
West Chester, PA 19382-3548
Phone
(302) 668-5887
NPI assigned
Mar 4, 2019
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 OC015374 PA Primary

Addresses

Primary practice location

715 S Wayne St
West Chester, PA 19382-3548

Mailing address

715 S Wayne St
West Chester, PA 19382-3548
Phone (302) 668-5887

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
OC015374PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Children's Therapy Services, LLC Current 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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1457819989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S WAYNE ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823548",
            "telephone_number": "302-668-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S WAYNE ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823548",
            "telephone_number": "302-668-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDALEL",
        "first_name": "LINDSAY",
        "middle_name": "KIEHL GOOD",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.