Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Menichelli, OTR/L

Individual provider Occupational Therapist · NPI 1144111717

Mariah Menichelli, OTR/L is an Occupational Therapist in Private Practice in Edwardsville, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Hodi Lymphatic Center LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

115 Gateway Shopping Ctr
Edwardsville, PA 18704-4403
Phone: (570) 938-4634
Fax: (570) 763-4374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC019488 (PA)

Record details

NPI number1144111717
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hodi Lymphatic Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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