Active NPI
Mylene Ruth T Rulite, O.T.
- Occupational Therapist
- Kissimmee, FL
National Provider Identifier
1336451996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2375
- Practice address
- 1528 Tina LN
Kissimmee, FL 34744-5024 - Phone
- (407) 451-8330
- NPI assigned
- Jul 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2375 | FL | Primary |
| Occupational Therapist | 225X00000X | 113159 | TX |
Addresses
Primary practice location
1528 Tina LN
Kissimmee, FL 34744-5024
Mailing address
1528 Tina LN
Kissimmee, FL 34744-5024
Phone (407) 451-8330
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 |
|---|---|---|---|
| 2375 | FL | MD | Occupational Therapist |
| 113159 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278806400000",
"number": "1336451996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 TINA LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445024",
"telephone_number": "407-451-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 TINA LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445024",
"telephone_number": "407-451-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULITE",
"first_name": "MYLENE RUTH",
"middle_name": "T",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-11",
"last_updated": "2010-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "2375",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.