Active NPI
Denise Mullin, OTR
- Occupational Therapist
- Fairlawn, OH
National Provider Identifier
1841423811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006321
- Practice address
- 575 S Cleveland Massillon Rd
Fairlawn, OH 44333-3019 - Phone
- (330) 666-5866
- NPI assigned
- Aug 25, 2009
- Last updated
- Aug 25, 2009
- 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 | 006321 | OH | Primary |
Addresses
Primary practice location
575 S Cleveland Massillon Rd
Fairlawn, OH 44333-3019
Mailing address
175 Ridge Rd
Utica, NY 13501-6543
Phone (315) 725-8246
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 |
|---|---|---|---|
| 006321 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1841423811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 RIDGE RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135016543",
"telephone_number": "315-725-8246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S CLEVELAND MASSILLON RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333019",
"telephone_number": "330-666-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "DENISE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "006321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.