Mia Lynn Sandate, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10091 Issued in OH

Practice address

1111 Superior Ave E Ste 1800
Cleveland, OH 44114-2500

Phone

(216) 883-0000

NPI assigned

Apr 18, 2018

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 identifiers 1

Other names 1

• Mia Perry 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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1568959146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BIDDULPH AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095018",
            "telephone_number": "216-903-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR AVE E STE 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142500",
            "telephone_number": "216-883-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDATE",
        "first_name": "MIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "10091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "PERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Sanchez, PA-C
• Nixzaliz Sanchez
• Therese Sanchez
• Myeisha Sancho
• Andegoni Sandalakis, MSN AGPCNP-BC
• Adam Richard Sanders, PHARM.D
• Angela Sanders
• Angela Sanders
• Anna Sanders
• Carolyn Breauna Sanders, MD

• Occupational Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Occupational Therapist in Ohio

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