Jana L Mullinax, COTA/ L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.001371 Issued in IL

Practice address

299 Swan Ave
Centralia, IL 62801-6127

Phone

(618) 533-4423

NPI assigned

May 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kaskaskia Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Centralia, IL
  • NPI 1013054154
  NPD (past)
• Kaskaskia Workshop, Inc.

  • Early Intervention Provider Agency
  • Centralia, IL
  • NPI 1316253388
  NPD (past)
• Penta Group Inc.

  • Non-emergency Medical Transport (VAN)
  • Salem, IL
  • NPI 1366610321
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1487947602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1946",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628019127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 SWAN AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016127",
            "telephone_number": "618-533-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINAX",
        "first_name": "JANA",
        "middle_name": "L",
        "credential": "COTA/ L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.001371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "057.001371",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alondra Moreno
• Emily Morris
• Morton-Wuebbels Pharmacy Inc
• Megan Mosley
• Jeremey Moss
• Mark Alden Murfin Jr., MD
• Deborah Lynn Murphy, R.N., APRN, PMHNP-BC
• My Urban Clinic, Inc
• Naeem a Khan MD SC
• Brigid Nalewajka

• All providers in Centralia, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.