Vidhya J Mampilly, OTR
Occupational Therapist in Livingston, NJ. Individual provider (NPI-1).
NPI number1699175083
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1699175083
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vidhya J Mampilly
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2014
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00555500 | NJ | Yes |
Practice location
9 Billingsley DrLivingston, NJ 07039-4609
Phone 973-722-1973
Mailing address
9 Billingsley DrLivingston, NJ 07039-4609
Phone 973-722-1973
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Occupational Therapist providers in Livingston · All 2,321 providers in Livingston
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