Myrna F Vandermolen, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007347 Issued in NY

Practice address

2277 Goshen Tpke
Middletown, NY 10941-4032

Phone

(845) 692-4391

Fax

(845) 692-4397

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1760559405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MT EVE RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109247015",
            "telephone_number": "845-651-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GOSHEN TPKE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414032",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMOLEN",
        "first_name": "MYRNA",
        "middle_name": "F",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "87763",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIREBLUECROSSBLUESHIELD",
            "identifier": "Q95551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Amanda Vallo, PA-C
• Sonia Valter
• Nowell Van Benschoten, MS ED. CCC-SLP
• Michelle-Nicole Van Orden, NP-C
• Taylor Van Wettering, PA-C
• Sandy Vanegas
• Shirley Paola Vanegas
• Wendy Vanhorn
• Balamurali Varadarajalu, M.D., PH.D.
• Marilyn Vargas

• Occupational Therapist in Middletown, NY
• Providers in Middletown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.