Healthcare Provider Details

I. General information

NPI: 1336069632
Provider Name (Legal Business Name): MRINMAYI SANJAY SANAP OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON DC
20019-5506
US

IV. Provider business mailing address

6105 PIKE CT
ALEXANDRIA VA
22310-2101
US

V. Phone/Fax

Practice location:
  • Phone: 202-399-7504
  • Fax:
Mailing address:
  • Phone: 412-626-1048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT210002493
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: