Michael Mifsud, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

17299 Issued in FL

Practice address

1535 Cogswell St Ste C24
Rockledge, FL 32955-2740

Phone

(321) 872-8737

NPI assigned

Dec 9, 2019

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Play for Real Therapy Services LLC

  • Occupational Therapist
  • Rockledge, FL
  • NPI 1891034625
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1407493554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WICKHAM LAKES DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402216",
            "telephone_number": "321-243-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 COGSWELL ST STE C24",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552740",
            "telephone_number": "321-872-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFSUD",
        "first_name": "MICHAEL",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MHM Medical Group, PLLC
• Michael D Griffin Aprn LLC
• Michael Kawohl, LLC
• Lindsey Michell, MOT
• Miriam Mier, LCSW
• Sabreyah Mike
• Jessica Miles, M.A.
• Kimberly Erin Miles, LMHC
• Rosemary Miles
• Brittney Millard

• Occupational Therapy Assistant in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.