Mireille Marino Lotr LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111682 Issued in TX

Legal business name

MIREILLE MARINO LOTR LLC

Practice address

4247 Sunset Blvd
Houston, TX 77005-1907

Phone

(504) 250-9553

NPI assigned

Jun 26, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne Mireille Marino, OTR/L, MA

Title

Owner

Phone

(504) 250-9553

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466899200000",
    "number": "1285085787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051907",
            "telephone_number": "504-250-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051907",
            "telephone_number": "504-250-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIREILLE MARINO LOTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MIREILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-250-9553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, MA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "114059904",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabina Yvonne Miranda, DO
• Victoria Miranda
• Zendre Miranda
• Jea Mirasol, PA-C
• Divya Mirchandani
• Amada Mireles, LMT, COTA, CMLDT
• Christine Mireles IV
• Dylan Mireles, RBT
• Jamir Encarnacion Mireles, MD
• Nabor Stephen Mireles III

• Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.