Active NPI
Mikayli Kanae, OTR/L
- Occupational Therapist
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14687
- Practice address
- 900 S Franklin St Ste 201
Wake Forest, NC 27587-2799 - Phone
- (919) 556-1700
- Fax
- (919) 556-1245
- NPI assigned
- Jan 11, 2022
- Last updated
- May 8, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 028268-01 | NY | |
| Occupational Therapist | 225X00000X | 23710 | FL | |
| Occupational Therapist | 225X00000X | 124314 | TX | |
| Occupational Therapist | 225X00000X | 14687 | NC | Primary |
Addresses
Primary practice location
900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Mailing address
900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Phone (919) 556-1700
Other practice location 1
200 Highland Ave Ste 202
Needham, MA 02494-3035
Phone (857) 990-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY, FL, NC, AZ
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Clarence Center, NY 14032
Phone (857) 990-6111
Destin, FL 32541
Phone (857) 990-6111
La Vernia, TX 78121
Phone (857) 990-6111
Queen Creek, AZ 85142
Phone (857) 990-6111
239 Kimberly Ave
Asheville, NC 28804-3510
Phone (857) 990-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23710 | FL | MD | Physical Therapy Assistant |
| 14687 | NC | MD | Massage Therapist |
| 028268-01 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast, LLC | Occupational Therapist | Current | Accepting new patients |
| Xrhealth USA Inc | Current | Accepting new patients | |
| Xrhealth USA Inc | Past | Accepting new patients |
Locations
127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500
200 Highland Ave
Ste 202
Needham Heights, MA 02494
Phone (850) 687-6000
300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Needham, MA
- NPI 1902449176
AZ, FL, NC, NY, TX
-
dba Synergy Care Southeast LLC - Texas
- Physical Therapist
- Lake Charles, LA
- NPI 1427466614
Occupational Therapist, TX
-
- Durable Medical Equipment & Medical Supplies
- Needham, MA
- NPI 1073260808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1336890425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S FRANKLIN ST STE 201",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872799",
"telephone_number": "919-556-1700",
"fax_number": "919-556-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S FRANKLIN ST STE 201",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872799",
"telephone_number": "919-556-1700",
"fax_number": "919-556-1245"
}
],
"practiceLocations": [
{
"address_1": "200 Highland Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Needham",
"state": "MA",
"postal_code": "024943035",
"country_code": "US",
"telephone_number": "857-990-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANAE",
"first_name": "MIKAYLI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "028268-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23710",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124314",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
- K. Jasinski, D.M.D., P.C. (Forestville Road Dental Care)
- K. Jasinski, D.M.D., P.C. (Dental Care at Harris Crossing)
- K. Kevin Neshat, DDS, MD, PA (PreservEndo)
- Abbigail Joan Kalaf, LPC, BCPCC
- Brandon Kaminski, D.C.
- Angela Kang, DMD
- Kara Care Home
- Christianna Karr
- Annie D Katowitz, DNP FNP-C
- David Alan Katz, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.