Individual provider Active NPI

Dumisani Mlungwana, O.T.

  • Occupational Therapist
  • Marion, IN
National Provider Identifier
1740588078
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31002328A Issued in IN
Practice address
2513 W 2ND St
Marion, IN 46952-3241
Phone
(765) 662-0490
Fax
(765) 381-0433
NPI assigned
Mar 10, 2011
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 31002328A IN Primary

Addresses

Primary practice location

2513 W 2ND St
Marion, IN 46952-3241

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (765) 759-5807

Other practice location 1

1558 E Boulevard Ste A
Kokomo, IN 46902-2587
Phone (765) 252-0530

Other practice location 2

5511 Coventry Ln
Fort Wayne, IN 46804-7144
Phone (260) 222-8959

Other practice location 3

4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone (260) 471-9263

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31002328AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Indiana LLC Occupational Therapist CurrentSince Nov 1, 2023 Accepting new patients
Evergreen Health & Rehab Inc Occupational Therapist Past Accepting new patients
Evergreen Health & Rehab,Inc Occupational Therapist Past Accepting new patients
Hopebridge, LLC Occupational Therapist Past Accepting new patients

Locations

14901 Carey Rd
Carmel, IN 46033

7 Carnegie Plz
Cherry Hill, NJ 08003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1740588078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "765-759-5807",
            "fax_number": "765-381-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 W 2ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523241",
            "telephone_number": "765-662-0490",
            "fax_number": "765-381-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1558 E Boulevard Ste A",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022587",
            "country_code": "US",
            "telephone_number": "765-252-0530",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Coventry Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468047144",
            "country_code": "US",
            "telephone_number": "260-222-8959",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 E State Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468156917",
            "country_code": "US",
            "telephone_number": "260-471-9263",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MLUNGWANA",
        "first_name": "DUMISANI",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.