Organization Active NPI

My Therapy Spot LLC

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1013635358
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MY THERAPY SPOT LLC
Practice address
18822 NW 80TH CT
Hialeah, FL 33015-5228
Phone
(305) 440-0785
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Travieso, SLPNPI 1326522731
Title
Speech Language Pathologist
Phone
(305) 440-0785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

18822 NW 80TH CT
Hialeah, FL 33015-5228

Mailing address

18822 NW 80TH CT
Hialeah, FL 33015-5228

Other identifiers 1

IdentifierTypeStateIssuer
101010300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapyspotco@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1013635358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18822 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18822 NW 80TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155228",
            "telephone_number": "305-440-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY SPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAVIESO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-440-0785",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101010300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapyspotco@gmail.com",
            "affiliation": "N",
            "address_1": "18822 NW 80th Ct",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330155228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.