Active NPI
Mikel Stone
- Occupational Therapy Assistant
- Grayson, KY
National Provider Identifier
1851565071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0655
- Practice address
- 361 Windburn LN
Grayson, KY 41143-8372 - Phone
- (606) 922-2572
- Fax
- (606) 475-9564
- NPI assigned
- Apr 18, 2008
- Last updated
- Apr 18, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0655 | KY | Primary |
Addresses
Primary practice location
361 Windburn LN
Grayson, KY 41143-8372
Mailing address
361 Windburn LN
Grayson, KY 41143-8372
Phone (606) 922-2572
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0655 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayson Speech Therapy | Past | Accepting new patients | |
| Grayson Speech Therapy | Occupational Therapy Assistant | Past | Accepting new patients |
Interoperability endpoints
- mikel.stone.p1@direct.compass-share.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Grayson, KY
- NPI 1194902668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1851565071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 WINDBURN LN",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411438372",
"telephone_number": "606-922-2572",
"fax_number": "606-475-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 WINDBURN LN",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411438372",
"telephone_number": "606-922-2572",
"fax_number": "606-475-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MIKEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "0655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.