Individual provider Active NPI

Adriana D Tilley, O.T

  • Occupational Therapist
  • North Miami Beach, FL
National Provider Identifier
1013944305
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11746 Issued in FL
Practice address
2020 NE 163Rd St
207
North Miami Beach, FL 33162
Phone
(954) 549-3765
Fax
(305) 945-8054
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 11746 FL
Occupational Therapist 225X00000X OT11746 FL Primary

Addresses

Primary practice location

2020 NE 163Rd St
207
North Miami Beach, FL 33162

Mailing address

2020 NE 163Rd St
N Miami Beach, FL 33162-4927
Phone (954) 549-3765

Other identifiers 4

IdentifierTypeStateIssuer
891648900MedicaidFL
OT11746OtherFLOCCUPATIONAL THERAPIST
003968800MedicaidFL
890689100MedicaidFL

Other names 1

  • Miss Adriana D Ayubi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000583 FL Practitioner - Occupational Therapist in Private Practice 8628087467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11746FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adriana Tafur Services Inc Developmental Therapist CurrentSince Jan 20, 2006 Accepting new patients
Adriana Tafur Services, Incorporated Past Accepting new patients
Adriana Tafur Services Occupational Therapist Past Accepting new patients
Dr. Finlay Medical Center, Inc. Past Accepting new patients
Adriana Tafur Services Occupational Therapist Past Accepting new patients
Adriana Tafur Services Inc Past Accepting new patients

Locations

18300 NW 62nd Ave
Ste 210
Miami Gardens, FL 33015
Phone (305) 474-4960

2020 NE 163rd St
Ste 207
North Miami Beach, FL 33162
Phone (305) 949-6461

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1013944305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "954-549-3765",
            "fax_number": "305-945-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "207",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "954-549-3765",
            "fax_number": "305-945-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "ADRIANA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "O.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "11746",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891648900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT11746",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003968800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890689100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "AYUBI",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.