Mikayla Cristine Mix, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056015164 Issued in IL

Practice address

2630 W Bradley PL
Chicago, IL 60618-4704

Phone

(312) 955-0089

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

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

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1770285959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 N OAKLEY AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184879",
            "telephone_number": "847-565-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BRADLEY PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184704",
            "telephone_number": "312-955-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "MIKAYLA",
        "middle_name": "CRISTINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Mittal, MD
• Bailey Mittman
• Zoe Mittman
• Jacqueline Mitzner, B.A.
• Milina Michelle Miulli, BA
• Morgan Gabrielle Mix, M.S., BCABA
• Mary K Mixan, DPT
• Miriam A Mixon, LCSW
• Eriko Miyake
• Patrick Keone Miyamasu, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.