Shahnaz Mitha

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

19725 Issued in FL

Practice address

1200 N Central Ave
Kissimmee, FL 34741-4450

Phone

(800) 378-7597

NPI assigned

Dec 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shahnaz Mohammed Former name

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1487423828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868728",
            "telephone_number": "469-688-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414450",
            "telephone_number": "800-378-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITHA",
        "first_name": "SHAHNAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "19725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHNAZ",
            "last_name": "MOHAMMED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mirasan, LLC
• Fariha Nehreen Mirza
• Norbert Leo Misch Jr., D.M.D.
• Elaine Mad Mitchell
• Maria P Mitchell
• MMG Emergency Physicians Inc
• Olabanjo J Mobayo
• Mary Kathryn Moberg, PHARMD
• Marta Moczo Santiago
• Model Pharmacy LLC

• Occupational Therapy Assistant in Kissimmee, FL
• Providers in Kissimmee, 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 27, 2023; 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.