Stephanie Mimms, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT24610 Issued in FL

Practice address

1102 Hibiscus St
Atlantic Beach, FL 32233-2657

Phone

(662) 497-0485

NPI assigned

May 26, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1306729330
  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926
  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
  • NPI 1447012208
  NPD
• Laskin Therapy Group, P.a.

  • Hearing and Speech Clinic/Center
  • Ridgeland, MS
  • NPI 1629145255
  NPD (past)

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1568874592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 WHITWORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022745",
            "telephone_number": "662-497-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 HIBISCUS ST",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322332657",
            "telephone_number": "662-497-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMMS",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smimms@H2Health.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "1102 Hibiscus St",
            "city": "Atlantic Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322332657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medical Auto Transport LLC
• Medico Beaches LLC
• Memory Doc
• Mark Allen Messinese, MD
• Migun of the Beaches
• Matthew Modansky, M.D.
• Susan Elizabeth Mullins, OTR/L
• Jamie Mullis, CAA
• Amari Murel
• Ashlyn Murray

• Occupational Therapist in Atlantic Beach, FL
• Providers in Atlantic Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.