Individual provider Active NPI

Michaela Juliana, OT/L, CAPS

  • Environmental Modification Occupational Therapist
  • Cary, NC
National Provider Identifier
1477160950
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
0628 Issued in NC
Practice address
104 Ripley CT
Cary, NC 27513-5121
Phone
(919) 469-1191
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Environmental Modification Occupational Therapist 225XE0001X
Environmental Modification Occupational Therapist 225XE0001X 0628 NC Primary

Addresses

Primary practice location

104 Ripley CT
Cary, NC 27513-5121

Mailing address

104 Ripley CT
Cary, NC 27513-5121
Phone (919) 469-1191

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL caylaejot@gmail.com

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

LicenseStateTypeSpecialty
0628NCMDEnvironmental Modification Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1477160950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIPLEY CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135121",
            "telephone_number": "919-469-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIPLEY CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135121",
            "telephone_number": "919-469-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIANA",
        "first_name": "MICHAELA",
        "credential": "OT/L, CAPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NC",
            "license": "0628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caylaejot@gmail.com",
            "affiliation": "N",
            "address_1": "104 Ripley Ct",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275135121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.