Miranda Sermersheim, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

BOTOCT00224694 Issued in KY

Practice address

800 W 9TH St
Jasper, IN 47546-2516

Phone

(812) 996-0682

NPI assigned

Aug 8, 2016

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

• Miranda Kline Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Health and Rehab LLCGroup PAC ID 9335427798, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Harvest Health & Rehab LLC

  • Speech-Language Pathologist
  • Loogootee, IN
  • NPI 1659828218

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Martin County Urgent Care LLC

  • Urgent Care Clinic/Center
  • Loogootee, IN
  • NPI 1346923414
  NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1588118681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "812-477-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462516",
            "telephone_number": "812-996-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERMERSHEIM",
        "first_name": "MIRANDA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "BOTOCT00224694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "KLINE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin N Sendelweck Temple, M.D.
• Seng Pediatric Dentistry, PC
• Jill M Seng, PA-C
• Darin Richard Serletic, DPM
• Kendall Renee Sermerseim
• Shad M. Huffer, P.C.
• Alisha Shake, MD
• Devdas N. Sheth, M.D.
• Marina Sidra Gerges
• Ava Elizabeth Sinclair

• Occupational Therapist in Jasper, IN
• Providers in Jasper, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.