Active NPI
Miriam Greenbaum, M.A.,OTR/L
- Occupational Therapist
- New Port Richey, FL
National Provider Identifier
1467545715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11760
- Practice address
- 5937 Elm St
New Port Richey, FL 34652-4111 - Phone
- (727) 842-9607
- NPI assigned
- Oct 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11760 | FL | Primary |
Addresses
Primary practice location
5937 Elm St
New Port Richey, FL 34652-4111
Mailing address
5937 Elm St
New Port Richey, FL 34652-4111
Phone (727) 842-9607
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT11760 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467545715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 ELM ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524111",
"telephone_number": "727-842-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5937 ELM ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524111",
"telephone_number": "727-842-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "MIRIAM",
"name_prefix": "Ms.",
"credential": "M.A.,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
- Sabrina Marie Graves
- Great Horned Owl Care Services LLC
- Great Horned Owl Enterprises, LLC (HomeWell Care Services FL309)
- Shawnda Green, LMT
- Tyler Green
- Amy D Greene, M.ED. CCC-SLP
- Aaron Michael Gregor, LMHC
- Sharon Lea Gresham, MS CCC SLP
- Griffin Home Health Services
- Griffin Home Health Services Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.