Individual provider Active NPI

Mikaila Loren Markel, OTR/L

  • Occupational Therapist
  • Great Neck, NY
National Provider Identifier
1124783634
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1506123 Issued in NY
Practice address
475 Northern Blvd
Great Neck, NY 11021-4819
Phone
(917) 978-8497
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1506123 NY Primary

Addresses

Primary practice location

475 Northern Blvd
Great Neck, NY 11021-4819

Mailing address

2773 Ellen Rd
Bellmore, NY 11710-5214
Phone (516) 880-5005

Other practice location 1

475 Northern Blvd
Great Neck, NY 11021-4819
Phone (718) 650-6230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000233 FL Practitioner - Occupational Therapist in Private Practice 6507255957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025774NYMDClinical Psychologist
1506123NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avi PT Limited Liability Company CurrentSince Mar 6, 2024 Accepting new patients

Locations

2045 Biscayne Blvd
Miami, FL 33137
Phone (786) 271-7081

1624 Washington Ave
Miami Beach, FL 33139
Phone (856) 816-0695

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1124783634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 ELLEN RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105214",
            "telephone_number": "516-880-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214819",
            "telephone_number": "917-978-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214819",
            "country_code": "US",
            "telephone_number": "718-650-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKEL",
        "first_name": "MIKAILA",
        "middle_name": "LOREN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "1506123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.