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Stephanie Mimms , OTR, L

Occupational Therapist β€’ Atlantic Beach, FL

Active NPI 1568874592 Individual Practitioner Female Practitioner
Practice location in NPPES

1102 Hibiscus St
Atlantic Beach, FL 322332657

Call 6624970485 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1102 Hibiscus St

Atlantic Beach, FL 322332657

Telephone 6624970485
Organization at the Same NPPES Address or Phone
Grassroots Therapy Solutions Llc Facility NPI 1386036911

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stephanie Mimms has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Atlantic Beach and Florida

5 active clinicians are listed under Occupational Therapist with a practice address in Atlantic Beach, FL (7,933 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-26
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES FL OT24610

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20240515000148

Enrollment State Jurisdiction

FL

PECOS Control ID

7911348453

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 26, 2024

Registered at 1102 HIBISCUS ST, ATLANTIC BEACH, FL 322332657 (Tel: 6624970485)

πŸ‘€
Provider Name / Credentials Updated March 26, 2024

Recorded as STEPHANIE MIMMS, OTR/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2024

Occupational Therapist (license number reported to NPPES: FL OT24610)

βœ…
NPI Profile Active May 26, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 26, 2014

Registered at 207 W JACKSON ST, RIDGELAND, MS 391572355 (Tel: 6013620859)

πŸ“
Business Mailing Address (Initial Record) May 26, 2014

Registered at 1052 WHITWORTH ST, JACKSON, MS 392022745 (Tel: 6624970485)

πŸ‘€
Provider Name / Credentials (Initial Record) May 26, 2014

Recorded as STEPHANIE MIMMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2014

Occupational Therapist

🟒
Initial NPI Registration & Enumeration May 26, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568874592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2014
Last Update: March 26, 2024
Sole Proprietor: No

Mailing Address

1052 Whitworth St

Jackson, MS 392022745

Phone: 6624970485

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.