Individual provider Active NPI

Mikayli Kanae, OTR/L

  • Occupational Therapist
  • Wake Forest, NC
National Provider Identifier
1336890425
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14687 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240515002113 TX Practitioner - Occupational Therapist in Private Practice 1850732355 Reassigns benefits to 2 organizations
I20240517000312 NY Practitioner - Occupational Therapist in Private Practice 1850732355 Reassigns benefits to 1 organization
I20240521004721 FL Practitioner - Occupational Therapist in Private Practice 1850732355 Reassigns benefits to 1 organization
I20240523001049 NC Practitioner - Occupational Therapist in Private Practice 1850732355 Reassigns benefits to 1 organization
I20250306003385 AZ Practitioner - Occupational Therapist in Private Practice 1850732355 Reassigns benefits to 1 organization

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
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians

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

LicenseStateTypeSpecialty
23710FLMDPhysical Therapy Assistant
14687NCMDMassage Therapist
028268-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast, LLC Occupational Therapist CurrentSince Apr 16, 2024 Accepting new patients
Xrhealth USA Inc CurrentSince Apr 1, 2024 Accepting new patients
Xrhealth USA Inc PastSince Jul 16, 2023 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.

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

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.

Verify at the official NPI Registry.