Individual provider Active NPI

Alexis Katrina Abella Miole, OT

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1750150488
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029427 Issued in NY
Practice address
3840 Greystone Ave Apt BS
Bronx, NY 10463-1906
Phone
(561) 706-8593
NPI assigned
Dec 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24260 FL
Occupational Therapist 225X00000X 029427 NY Primary

Addresses

Primary practice location

3840 Greystone Ave Apt BS
Bronx, NY 10463-1906

Mailing address

3840 Greystone Ave Apt BS
Bronx, NY 10463-1906
Phone (561) 706-8593

Other practice location 1

4355 Key Lime Blvd
Boynton Beach, FL 33436-1621
Phone (561) 706-8593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001778 NY Practitioner - Occupational Therapist in Private Practice 6800247800 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24260FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Jul 20, 2024 Accepting new patients
F.I.T. PT, LLC Occupational Therapist CurrentSince Dec 26, 2023 Accepting new patients
Hudson in Home Physical Therapy PLLC CurrentSince Oct 8, 2024 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC CurrentSince Oct 7, 2024 Accepting new patients
PT and OT for Senior Rehab at Home PLLC CurrentSince Nov 1, 2024 Accepting new patients
Hudson in Home Physical Therapy and Occupational Therapy PLLC CurrentSince Oct 8, 2024 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1750150488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 GREYSTONE AVE APT BS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631906",
            "telephone_number": "561-706-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 GREYSTONE AVE APT BS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631906",
            "telephone_number": "561-706-8593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4355 Key Lime Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334361621",
            "country_code": "US",
            "telephone_number": "561-706-8593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIOLE",
        "first_name": "ALEXIS KATRINA",
        "middle_name": "ABELLA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24260",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.