Active NPI
Ayanna Knowles
- Occupational Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1023889193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 19720
- Practice address
- Camino Gardens Blvd
Boca Raton, FL 33432-5827 - Phone
- (561) 523-3211
- NPI assigned
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 19720 | FL | Primary |
Addresses
Primary practice location
Camino Gardens Blvd
Boca Raton, FL 33432-5827
Mailing address
3167 NW 67TH CT
Fort Lauderdale, FL 33309-1203
Phone (305) 690-2006
Other practice location 1
15291 NW 60th Ave Ste 101
Miami Lakes, FL 33014-2459
Phone (305) 705-7702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19720 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1023889193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3167 NW 67TH CT",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091203",
"telephone_number": "305-690-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAMINO GARDENS BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325827",
"telephone_number": "561-523-3211"
}
],
"practiceLocations": [
{
"address_1": "15291 NW 60th Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330142459",
"country_code": "US",
"telephone_number": "305-705-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLES",
"first_name": "AYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-18",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "19720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.