Individual provider Active NPI

Michael David Mueller, OTR, CHT

  • Occupational Therapist
  • Douglassville, PA
National Provider Identifier
1518157239
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC003968L Issued in PA
Practice address
301 W Welsh Dr
Douglassville, PA 19518-8712
Phone
(610) 217-2072
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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 OC003968L PA Primary

Addresses

Primary practice location

301 W Welsh Dr
Douglassville, PA 19518-8712

Mailing address

301 W Welsh Dr
Douglassville, PA 19518-8712
Phone (610) 217-2072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080610000040 PA Practitioner - Occupational Therapist in Private Practice 8123198637 Reassigns benefits to 1 organization
I20140912001691 NJ Practitioner - Occupational Therapist in Private Practice 8123198637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Enterprise Dr
FL 2
Limerick, PA 19468-1218
Phone (800) 321-9999

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Apr 1, 2013 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Apr 1, 2013 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Occupational Therapist CurrentSince Aug 1, 2012 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

400 Main St
Phoenixville, PA 19460
Phone (610) 323-3747

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

2400 Maryland Rd
Ste 20
Willow Grove, PA 19090
Phone (215) 830-8700

Organizations & group practices 4

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1518157239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W WELSH DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195188712",
            "telephone_number": "610-217-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WELSH DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195188712",
            "telephone_number": "610-217-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003968L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.