Active NPI
Merina Lee
- Gerontology Occupational Therapist
- Daytona Beach, FL
National Provider Identifier
1770085656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 9369
- Practice address
- 1159 Australia Ave.
Daytona Beach, FL 32114 - Phone
- (386) 255-5890
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 9369 | FL | Primary |
Addresses
Primary practice location
1159 Australia Ave.
Daytona Beach, FL 32114
Mailing address
1159 Australia Ave.
Daytona Beach, FL 32114
Phone (386) 255-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9369 | FL | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770085656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 AUSTRALIA AVE.",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32114",
"telephone_number": "386-255-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 AUSTRALIA AVE.",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32114",
"telephone_number": "386-255-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MERINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "FL",
"license": "9369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.