David Sean McMullan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009241-01 Issued in NY

Practice address

1001 Axinn Ave
Garden City, NY 11530-2153

Phone

(516) 570-7010

NPI assigned

Mar 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1588424972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 FREDERICK AVE",
            "city": "SOUTH FLORAL PARK",
            "state": "NY",
            "postal_code": "110013554",
            "telephone_number": "727-748-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AXINN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302153",
            "telephone_number": "516-570-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117581760",
            "country_code": "US",
            "telephone_number": "516-321-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "DAVID",
        "middle_name": "SEAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007995",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13816",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009241-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline McGuire
• Michael J McGuire, M.D.
• Caryn Jennifer McIsaac, M.A., CCC
• Marie McKeown, RN
• Alexandra E McLaughlin, MA, CCC-SLP
• Nicole M. McNair
• Erin Christine McNally, MSPT
• Shannon Marie McNally, OTR/L
• Stephanie Trentacoste McNally, MD
• Anne Elizabeth McNamara, NP

• Occupational Therapy Assistant in Garden City, NY
• Providers in Garden City, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.