Robin Mitan, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

891 Meadowview Lane
Columbia, IL 62236

Phone

(618) 806-8461

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mitan Pediatric Therapy Inc

  • Occupational Therapist
  • Columbia, IL
  • NPI 1184704900
  NPD (past) Authorized official
• Brefeld Physical Therapy Services PC

  • Physical Therapist
  • Belleville, IL
  • NPI 1053308015

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700966520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 MEADOWVIEW LANE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "62236",
            "telephone_number": "618-806-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MEADOWVIEW LANE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "62236",
            "telephone_number": "618-806-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITAN",
        "first_name": "ROBIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2000155595",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "06732018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7058311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Vision Care, LLC
• Rebecca Mary Miles, LCSW
• Malissa Miller, NURSE PRACTITIONER
• Wendy J Missey, MS RD LDN
• Mitan Pediatric Therapy Inc
• Monclair Enterprises, Inc.
• Stephanie Lynn Morris, MSCCC/SLP
• Susan K Morris, PT
• Msa Alliance, LLC
• Katelyn F Mushinsky, MS CCC-SLP

• Occupational Therapist in Columbia, IL
• Providers in Columbia, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.