Individual provider Active NPI

Emilio Mirabilio

  • Occupational Therapist
  • Vallejo, CA
National Provider Identifier
1467150813
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24642 Issued in CA
Practice address
127 Hospital Dr Ste 101
Vallejo, CA 94589-2500
Phone
(707) 552-8795
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24642 CA Primary

Addresses

Primary practice location

127 Hospital Dr Ste 101
Vallejo, CA 94589-2500

Mailing address

5900 Enterprise CT Apt C2
El Paso, TX 79912-4763
Phone (845) 518-1245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230330002828 CA Practitioner - Occupational Therapist in Private Practice 7113392317 Reassigns benefits to 2 organizations
I20231208002843 NY Practitioner - Occupational Therapist in Private Practice 7113392317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Hospital Dr
Suite 101
Vallejo, CA 94589-2500
Phone (707) 552-8795

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients
Anchor Health Homecare Services Inc Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Dec 16, 2023 Accepting new patients
Metro PT OT and SLP Health PLLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

816 Southampton Rd
Benicia, CA 94510
Phone (707) 512-8901

127 Hospital Dr
Ste 101
Vallejo, CA 94589
Phone (707) 512-7290

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Organizations & group practices 5

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1467150813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 ENTERPRISE CT APT C2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124763",
            "telephone_number": "845-518-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR STE 101",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892500",
            "telephone_number": "707-552-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABILIO",
        "first_name": "EMILIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.