Individual provider Active NPI

Benjamin Leubitz, OTR

  • Occupational Therapist
  • Hollywood, FL
National Provider Identifier
1033356639
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 12605 Issued in FL
Practice address
4081 N 37TH Ave
Hollywood, FL 33021-1926
Phone
(954) 243-7745
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 12605 FL Primary

Addresses

Primary practice location

4081 N 37TH Ave
Hollywood, FL 33021-1926

Mailing address

4081 N 37TH Ave
Hollywood, FL 33021-1926
Phone (954) 243-7745

Other identifiers 1

IdentifierTypeStateIssuer
OT12605OtherFLSTATE OF FLORIDA

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

LicenseStateTypeSpecialty
OT 12605FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1033356639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 N 37TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211926",
            "telephone_number": "954-243-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 N 37TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211926",
            "telephone_number": "954-243-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUBITZ",
        "first_name": "BENJAMIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 12605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "OT12605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.