Elaine Neal, OTA12414

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12414 Issued in FL

Practice address

179 Broyles Dr SE
Palm Bay, FL 32909-2350

Phone

(321) 844-1010

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elaine Miller-Fain/Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1053650226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BROYLES DR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092350",
            "telephone_number": "321-844-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BROYLES DR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092350",
            "telephone_number": "321-844-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ELAINE",
        "credential": "OTA12414",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "MILLER-FAIN/MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gail S Nass, LMHC
• National Carrier Community Services
• Carly Nau
• Kate Naugle
• Nci Transportation, LLC
• Tameara L Neely
• Lielvy Negrin, RBT
• Bonnie Elizabeth Negron
• Susan Neil, PMHNP
• Jacob Benjamin Nelms, HIS

• Occupational Therapy Assistant in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.