Mia Nicole Depillo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT22786 Issued in FL

Practice address

1800 Penn St Ste 12
Melbourne, FL 32901-2625

Phone

(321) 768-6800

NPI assigned

Mar 15, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Denver, CO
  • NPI 1164620084

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD
• Village Physical Therapy, P.C.

  • Physical Therapist
  • Denver, CO
  • NPI 1992465009
  NPD
• Village Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1710026992
  NPD
• Village Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Castle Rock, CO
  • NPI 1720447964
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1871241216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PENN ST STE 12",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012625",
            "telephone_number": "321-768-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PENN ST STE 12",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012625",
            "telephone_number": "321-768-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPILLO",
        "first_name": "MIA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHILDANDFAMILYCONSULTANTS.COM",
            "affiliation": "N",
            "address_1": "1800 Penn St Ste 12",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329012625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dental Choice of Melbourne LLC
• Dentists of Melbourne, PA
• Myia Denton, LMHC
• Department of Veterans Affairs
• Elizabeth Erin Depelteau, PSY.D.
• Brian Depristo
• Derek Lee Eisnor MD PA
• Pranali Desai, PS
• Rajesh Kantilal Desai, MD
• Shashin R Desai, MD

• Occupational Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.