Active NPI
Michele Selon Miles, OTR
- Gerontology Occupational Therapist
- Sanford, FL
National Provider Identifier
1093913758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- OT12570
- Practice address
- 153 Gleason CV
Sanford, FL 32773 - Phone
- (407) 781-7714
- NPI assigned
- Jul 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT12570 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT12570 | FL |
Addresses
Primary practice location
153 Gleason CV
Sanford, FL 32773
Mailing address
153 Gleason CV
Sanford, FL 32773
Phone (407) 781-7714
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT12570 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1093913758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 GLEASON CV",
"city": "SANFORD",
"state": "FL",
"postal_code": "32773",
"telephone_number": "407-781-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 GLEASON CV",
"city": "SANFORD",
"state": "FL",
"postal_code": "32773",
"telephone_number": "407-781-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "MICHELE",
"middle_name": "SELON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-04",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "OT12570",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT12570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
- Mid Florida Rheumatology and Arthritis Center LLC
- Mid-Florida Dermatology Associates
- Mid-Florida Gastroenterology Group P a
- Mid-Florida Group of Specialists LLC
- Midway Premier Dental, LLC
- Milestones Children'S Therapy Center, LLC
- Milestones Childrens Therapy Center
- Caitlin Millich, PTA
- Coralis Dara Millien, OD
- Reginald Bernard Mims Sr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.