Active NPI
Adriana Tallman, OTR/L
- Occupational Therapist
- Mooresville, NC
National Provider Identifier
1699287649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022024
- Practice address
- 134 Infield CT
Mooresville, NC 28117-8026 - Phone
- (704) 799-6824
- Fax
- (704) 799-6825
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022024 | NY | Primary |
Addresses
Primary practice location
134 Infield CT
Mooresville, NC 28117-8026
Mailing address
3 Stony Wood Rd
East Setauket, NY 11733-1838
Other practice location 1
299 Hallock Ave
Port Jeff Sta, NY 11776-1217
Phone (631) 473-4284
Other practice location 2
235 Blue Point Ave
Blue Point, NY 11715-1261
Phone (631) 363-5794
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022024 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Occupational Therapist | Past | Accepting new patients |
| Pediatric Hands on Therapy, PC | Past | Accepting new patients | |
| Little Angels Center, Inc | Occupational Therapist | Past | Accepting new patients |
| Integrative Therapy Concepts | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
-
- Occupational Therapist
- Mooresville, NC
- NPI 1164847752
-
- Pediatric Occupational Therapist
- Gastonia, NC
- NPI 1255456513
-
- Speech-Language Pathologist
- Medford, NY
- NPI 1588719041
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1699287649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 STONY WOOD RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 INFIELD CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178026",
"telephone_number": "704-799-6824",
"fax_number": "704-799-6825"
}
],
"practiceLocations": [
{
"address_1": "299 Hallock Ave",
"address_purpose": "LOCATION",
"city": "Port Jeff Sta",
"state": "NY",
"postal_code": "117761217",
"country_code": "US",
"telephone_number": "631-473-4284",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 Blue Point Ave",
"address_purpose": "LOCATION",
"city": "Blue Point",
"state": "NY",
"postal_code": "117151261",
"country_code": "US",
"telephone_number": "631-363-5794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLMAN",
"first_name": "ADRIANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.