Individual provider Active NPI

Kara Lee Mihelich, OTR/L

  • Pediatric Occupational Therapist
  • St Petersburg, FL
National Provider Identifier
1013140128
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
13649 Issued in FL
Practice address
9814 49TH Ave N
St Petersburg, FL 33708-3634
Phone
(813) 850-4816
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 13649 FL Primary

Addresses

Primary practice location

9814 49TH Ave N
St Petersburg, FL 33708-3634

Mailing address

9814 49TH Ave N
St Petersburg, FL 33708-3634
Phone (813) 850-4816

Other practice location 1

15959 Hall Rd
Macomb, MI 48044-5363
Phone (586) 416-6290

Other practice location 2

6924 W Linebaugh Ave
Tampa, FL 33625-5800
Phone (813) 962-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13649FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Pediatrics, Inc Pediatrics CurrentSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1013140128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 49TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083634",
            "telephone_number": "813-850-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 49TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083634",
            "telephone_number": "813-850-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15959 Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445363",
            "country_code": "US",
            "telephone_number": "586-416-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6924 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255800",
            "country_code": "US",
            "telephone_number": "813-962-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHELICH",
        "first_name": "KARA",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "13649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.