Individual provider Active NPI

Julie L Mirabell, MS, OT/L

  • Hand Occupational Therapist
  • Ashtabula, OH
National Provider Identifier
1205064425
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
4347 Issued in OH
Practice address
1956 W Prospect Rd
Ashtabula, OH 44004-6424
Phone
(440) 536-2339
Fax
(440) 964-8805
NPI assigned
Jun 25, 2009
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 4347 OH Primary

Addresses

Primary practice location

1956 W Prospect Rd
Ashtabula, OH 44004-6424

Mailing address

1320 Willow Dr
Ashtabula, OH 44004-2053
Phone (440) 536-2339

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4347OHMDSports Physician Chiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1205064425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WILLOW DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042053",
            "telephone_number": "440-536-2339",
            "fax_number": "440-964-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046424",
            "telephone_number": "440-536-2339",
            "fax_number": "440-964-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELL",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "MS, OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "4347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.