STEPHANIE MIMMS OTR/L
NPI 1568874592
Occupational Therapist in Atlantic Beach, FL

Active since May 26, 2014
1102 HIBISCUS ST, ATLANTIC BEACH, FL 32233(662) 497-0485 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Mimms Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MIMMS OTR/L (NPI 1568874592) is an individual occupational therapist in Atlantic Beach, Florida, licensed in Florida (OT24610) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1568874592
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTEPHANIE MIMMSCredential: OTR/L
Location Address1102 HIBISCUS STAtlantic Beach, FL 32233-2657
Mailing Address1052 Whitworth StJackson, MS 39202-2745 · (662) 497-0485
Sole ProprietorNo
Enumeration DateMay 26, 2014
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1568874592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in FL · OT24610
Definition
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.
1102 HIBISCUS ST, Atlantic Beach, FL 32233

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Mimms Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Mimms reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
3270 TAMAYA BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
Rehabilitation
100 JOHN KNOX RD STE H2
Tallahassee, FL 32303
  • Reassigned Medicare billing, Florida enrollment
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Mimms's NPI number?

The NPI number for Stephanie Mimms is 1568874592. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Where is Stephanie Mimms located?

Stephanie Mimms practices at 1102 Hibiscus St, Atlantic Beach, FL 32233. The listed phone number is (662) 497-0485.

What is Stephanie Mimms's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Stephanie Mimms enrolled in Medicare?

Yes. Stephanie Mimms is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Mimms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Mimms reassigns Medicare benefits to 2 organizations: Burke Collins Therapy, Inc (Jacksonville, FL) and H2 Rehabilitation Services Of Florida LLC (Tallahassee, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Mimms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Mimms was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.