Individual provider Active NPI

Joseph Miraglia, MA, OTR/L

  • Occupational Therapist
  • Glendale, NY
National Provider Identifier
1194083246
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006933-1 Issued in NY
Practice address
9045 Myrtle Ave
Glendale, NY 11385-7823
Phone
(718) 849-3002
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 006933-1 NY Primary

Addresses

Primary practice location

9045 Myrtle Ave
Glendale, NY 11385-7823

Mailing address

3000 Spout Run Pkwy
Apt D309
Arlington, VA 22201-4232

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
006933-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1194083246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SPOUT RUN PKWY",
            "address_2": "APT D309",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857823",
            "telephone_number": "718-849-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAGLIA",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.