Active NPI
Rebeca Martin Fernandez
- Occupational Therapy Assistant
- Miami, FL
National Provider Identifier
1033412416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 13254
- Practice address
- 14105 SW 66TH St Apt C4
Miami, FL 33183-2285 - Phone
- (786) 975-6294
- Fax
- (305) 387-1621
- NPI assigned
- Dec 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 44690 | FL | |
| Occupational Therapy Assistant | 224Z00000X | 13254 | FL | Primary |
Addresses
Primary practice location
14105 SW 66TH St Apt C4
Miami, FL 33183-2285
Mailing address
14105 SW 66TH St Apt C4
Miami, FL 33183-2285
Phone (786) 975-6294
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 |
|---|---|---|---|
| 13254 | FL | MD | Occupational Therapy Assistant |
| 44690 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1033412416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14105 SW 66TH ST APT C4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832285",
"telephone_number": "786-975-6294",
"fax_number": "305-387-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14105 SW 66TH ST APT C4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832285",
"telephone_number": "786-975-6294",
"fax_number": "305-387-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN FERNANDEZ",
"first_name": "REBECA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "44690",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "13254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.