Active NPI
Ashten Mikaela Bailey, OTR/L
- Occupational Therapist
- Port St Joe, FL
National Provider Identifier
1104597814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26522
- Practice address
- 3871 US-98
100A
Port St Joe, FL 32456 - Phone
- (850) 229-5752
- Fax
- (850) 229-5753
- NPI assigned
- Sep 22, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA18487 | FL | |
| Occupational Therapist | 225X00000X | 26522 | FL | Primary |
Addresses
Primary practice location
3871 US-98
100A
Port St Joe, FL 32456
Mailing address
3844 Highway 22
Wewahitchka, FL 32465-2429
Phone (850) 340-3550
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 |
|---|---|---|---|
| 26522 | FL | MD | Clinical Social Worker |
| OTA18487 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Walton Academy, Inc. | Occupational Therapist | Past | 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": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1104597814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3844 HIGHWAY 22",
"city": "WEWAHITCHKA",
"state": "FL",
"postal_code": "324652429",
"telephone_number": "850-340-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3871 US-98",
"address_2": "100A",
"city": "PORT ST JOE",
"state": "FL",
"postal_code": "32456",
"telephone_number": "850-229-5752",
"fax_number": "850-229-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ASHTEN",
"middle_name": "MIKAELA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA18487",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "26522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Joe, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.