Active NPI
Kendal Miller
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1205552080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23584
- Practice address
- 7820 Fanning CT
Fort Myers, FL 33907-8508 - Phone
- (877) 969-0712
- NPI assigned
- Oct 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23584 | FL | Primary |
Addresses
Primary practice location
7820 Fanning CT
Fort Myers, FL 33907-8508
Mailing address
2813 SW 36TH St
Cape Coral, FL 33914-4855
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 |
|---|---|---|---|
| 23584 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1205552080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 SW 36TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339144855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 FANNING CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339078508",
"telephone_number": "877-969-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KENDAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.