Daniel Mammon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09008-1 Issued in NY

Practice address

14413 70TH Ave
Flushing, NY 11367-1713

Phone

(718) 646-4441

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1942477872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14413 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671713",
            "telephone_number": "718-646-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14413 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671713",
            "telephone_number": "718-646-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMON",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "09008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Mallgraf, RN BSN
• Shahnaz Mallik
• Priya Mallikarjuna, MD, MA
• Philip James Malone, PNP
• Mamatha Sundaresh MD
• Natalie Mammon, PHARM.D.
• Paul Manadan, M.D.
• Javelin Manansala
• Andrea Mancuso
• Nageswara R Mandava, MD

• Occupational Therapist in Flushing, NY
• Providers in Flushing, 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 Sep 13, 2010; 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.