Individual provider Active NPI

Molly Mercaldo, OT

  • Occupational Therapist
  • Milford, CT
National Provider Identifier
1699645929
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6762 Issued in CT
Practice address
154 Herbert St
Milford, CT 06461-1609
Phone
(203) 382-4644
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 6762 CT Primary

Addresses

Primary practice location

154 Herbert St
Milford, CT 06461-1609

Mailing address

154 Herbert St
Milford, CT 06461-1609
Phone (203) 382-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120001305 CT Practitioner - Occupational Therapist in Private Practice 5597257279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab CT PLLCGroup PAC ID 7416487152, 14 clinicians

Practice addresses (Care Compare)

36 Russ St
FL 3
Hartford, CT 06106-1520
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6762CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab CT PLLC CurrentSince Nov 12, 2025 Accepting new patients

Locations

36 Russ St
Fl 3
Hartford, CT 06106
Phone (301) 785-2099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1699645929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HERBERT ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611609",
            "telephone_number": "203-382-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HERBERT ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611609",
            "telephone_number": "203-382-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCALDO",
        "first_name": "MOLLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.