Active NPI
Girlyn Manuel Miagao, OTR/L
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1386763621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12139
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12139 | FL | MD | Occupational Therapist |
| 0119005584 | VA | MD | Occupational 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.