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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW LAWRENCE MONGILLO, BA, AA, MHRS, RE

Active

MR. MATTHEW LAWRENCE MONGILLO, BA, AA, MHRS, RE is a Occupational Therapy Assistant healthcare provider located in SAN JOSE, California. NPI 1609949734 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SAN JOSE, CA

Registration Details

NPI Number
1609949734
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2006 (19.699322926186 yrs)
Last Updated
Jul 9, 2025

Practice Information

Address
232 E GISH RD
SAN JOSE, CA, 951124706
Browse CA providers · Browse ZIP 95112
Phone
6692210148
Primary Specialty
Occupational Therapy Assistant
225400000X
Additional Specialty
Case Manager
Additional Specialty
Community Health Worker

Other Occupational Therapy Assistant Providers in SAN JOSE, CA

Name Credential NPI
AARON WALLACE 1023107414
MONICA SANTIAGO 1053482224
MRS. STACEY RENE MCLAREN 1679646855
MR. ARMANDO TORRES BA 1003989088
JULIE MARY WOOD BA MHRS 1902979040
MR. HUNG M NGUYEN BA 1912073131
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.