Jennifer Mihalo, OTR/L

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

013027-1 Issued in NY

Practice address

22 Samuels Path
Miller Place, NY 11764-1920

Phone

(631) 921-0354

NPI assigned

Aug 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1386958205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAMUELS PATH",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "11764",
            "telephone_number": "631-921-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SAMUELS PATH",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641920",
            "telephone_number": "631-921-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALO",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013027-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Health South Shore PLLC
• Medical Health Trigger Point
• Janine Melhus
• Katja Mercado, MA CCC-SLP
• Stephanie Marie Mercado
• Miller Place Acupuncture PC
• Miller Place Fire District
• Miller Place Neurology and Sleep Specialty PC
• Miller Place Physical Therapy PC
• Miller Place PT, Family Health NP and Chiropractic PLLC

• Early Intervention Provider Agency in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.