MIRACLE MILE THERAPY LLC (NPI# 1235675307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235675307 |
| Entity Type | Organization |
| Organization Name | MIRACLE MILE THERAPY LLC |
| Practice Address |
2780 N Florida Ave Unit 1 Hernando Plaza Hernando FL 34442-4390 |
| Mailing Address |
2780 N Florida Ave Ste 1 Hernando FL 34442-4390 |
| Practice Telephone | 8777737123 |
| Practice Fax Number | 8777737123 |
| Mailing Telephone | 8777737123 |
| Mailing Fax Number | 8777737123 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | CHERYL YARCHUK (OWNER) |
| Authorized Official Telephone | 3155343409 |
| Authorized Official Credential | OTR/L, CLT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT18040 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2780 N FLORIDA AVE UNIT 1 HERNANDO PLAZA |
| City | HERNANDO |
| State | FL |
| Zip Code | 34442-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265666986 | Cheryl A Yarchuk | Occupational Therapist | 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 | 2009-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678436 | Advn Dental Partners Pa | Dentist | 2460 N Essex Avenue, Hernando, FL 34442 | 2020-01-15 |
| 1306020599 | Nicole Fay Wall | Occupational Therapist | 778 West Cockatiel Loop, Hernando, FL 34442 | 2007-12-24 |
| 1164560124 | West Florida Medical Associates P A | Clinic/Center | 2669 N Florida Ave, Hernando, FL 34442 | 2007-02-02 |
| 1366540502 | Shiriskumar G Patel | Family Medicine | 2669 N. Florida Ave., Hernando, FL 34442 | 2006-09-20 |
| 1043315377 | Citrus Hills Medical Center | Pain Medicine | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-13 |
| 1710959002 | Stephen Jo Calvin | Preventive Medicine | 1292 East Bluebird Court, Hernando, FL 34442 | 2006-02-02 |
| 1659472355 | Elizabeth J Collins | Nurse Practitioner | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1134220825 | Mary Leah Stringer | Nurse Practitioner | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1669573457 | Bradley H Ruben | Family Medicine | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| 1750677035 | Shauna Lori Parrish | Speech-Language Pathologist | 1561 E Cousins Ln, Hernando, FL 34442-2007 | 2011-06-24 |
| Find all providers in zip 34442 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926998 | Courtney Rae Shankle | Occupational Therapist | 1895 Thousand Oaks Dr, Hernando, MS 38632-8914 | 2015-06-30 |
| 1639440431 | Hometown Rehab Pllc | Occupational Therapist | 3451 E Louise Ln, Suite 110, Hernando, FL 34442-4396 | 2012-01-25 |
| 1265666986 | Cheryl A Yarchuk | Occupational Therapist | 2780 N Florida Ave, Unit 1 Hernando Plaza, Hernando, FL 34442-4390 | 2009-05-09 |
| 1306020599 | Nicole Fay Wall | Occupational Therapist | 778 West Cockatiel Loop, Hernando, FL 34442 | 2007-12-24 |
| 1033268115 | Wanda Marie Lee | Occupational Therapist | 1047 N Hunt Club Dr, Hernando, FL 34442-6372 | 2007-01-09 |
| 1003223595 | Katie Hunt | Occupational Therapist | 190 W South St, Hernando, MS 38632-2245 | 2014-07-16 |
| 1427497627 | Kristen Nicole Walls | Occupational Therapist | 190 W South St, Hernando, MS 38632-2245 | 2013-06-20 |
| 1689952137 | Julie Honness | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2011-08-02 |
| 1710184650 | Mary Lou Davis Ix | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2007-07-02 |
| 1548237118 | Tlc Rehab, Inc. | Occupational Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2006-03-02 |
| Find all providers in HERNANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.