Individual provider Active NPI

Megan Diane Balkenbush

  • Occupational Therapist
  • Miami Beach, FL
National Provider Identifier
1285874891
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13372 Issued in FL
Practice address
1000 West Ave
No. 1411
Miami Beach, FL 33139-4759
Phone
(305) 778-9198
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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 OT13372 FL Primary

Addresses

Primary practice location

1000 West Ave
No. 1411
Miami Beach, FL 33139-4759

Mailing address

910 West Ave
Apt. 802
Miami Beach, FL 33139-5234
Phone (786) 201-2426

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

LicenseStateTypeSpecialty
OT13372FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Camacho-Balkenbush Occupational Therapist Current Accepting new patients
Kinetic Kids, Inc. Occupational Therapist Past Accepting new patients
Kinetic Kids, Inc Past Accepting new patients

Organizations & group practices 3

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1285874891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WEST AVE",
            "address_2": "APT. 802",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395234",
            "telephone_number": "786-201-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST AVE",
            "address_2": "NO. 1411",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394759",
            "telephone_number": "305-778-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKENBUSH",
        "first_name": "MEGAN",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.