Miranda Lee Hurst, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2022001777 Issued in MO

Practice address

2885 Technology Dr
Lake St Louis, MO 63367-4123

Phone

(636) 614-3310

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda Lee Hurst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1306599402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "877-787-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 TECHNOLOGY DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674123",
            "telephone_number": "636-614-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "MIRANDA",
        "middle_name": "LEE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2022001777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "HURST",
            "middle_name": "LEE",
            "credential": "MIRANDA MCNELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kalee Howard-Foster
• Giles Howard
• Lauren Ann Hughes
• Rachael Hughes
• Rachel Ann Hunt, OT
• Kris Hutchings, RPH
• Melissa Colleen Hynes, MHS, CCC-SLP
• Umesh C. Inampudi, M.D.
• Inclusive Clinical Counseling
• Jack D. Griffin, Jr. D.M.D., Lake St. Louis, LLC

• Occupational Therapy Assistant in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.