Individual provider Active NPI

Girlyn Manuel Miagao, OTR/L

  • Occupational Therapist
  • Virginia Beach, VA
National Provider Identifier
1386763621
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12139 Issued in FL
Practice address
5417 Wesleyan Dr
Virginia Beach, VA 23455-6922
Phone
(757) 490-0736
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12139 FL Primary
Occupational Therapist 225X00000X 0119005584 VA

Addresses

Primary practice location

5417 Wesleyan Dr
Virginia Beach, VA 23455-6922

Mailing address

3430 Dandelion Cres
Virginia Beach, VA 23453-2322

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
12139FLMDOccupational Therapist
0119005584VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1386763621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 DANDELION CRES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 WESLEYAN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556922",
            "telephone_number": "757-490-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAGAO",
        "first_name": "GIRLYN",
        "middle_name": "MANUEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12139",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.