Organization Active NPI

Occupational Therapy & Wellness Centers of America, Inc.

  • Multi-Specialty Clinic/Center
  • Miramar, FL
National Provider Identifier
1043602741
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
OT10332 Issued in FL
Legal business name
OCCUPATIONAL THERAPY & WELLNESS CENTERS OF AMERICA, INC.
Practice address
11820 Miramar Pkwy Ste 110
Miramar, FL 33025-5816
Phone
(954) 870-0050
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Robert Jason Mullaney, OTR/L, MBA-HSA, DBA
Title
President
Phone
(954) 870-0050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X OT10332 FL Primary
Rehabilitation Clinic/Center 261QR0400X OT10332 FL

Addresses

Primary practice location

11820 Miramar Pkwy Ste 110
Miramar, FL 33025-5816

Mailing address

11820 Miramar Pkwy Ste 110
Miramar, FL 33025-5816
Phone (954) 870-0050

National Provider Directory

National Provider Directory
Tax ID family
Occupational Therapy and Wellness Centers of America Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11820 Miramar Pkwy
Ste 110
Miramar, FL 33025
Phone (954) 870-0050

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1043602741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255816",
            "telephone_number": "954-870-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255816",
            "telephone_number": "954-870-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY & WELLNESS CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-870-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTR/L, MBA-HSA, DBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "OT10332",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OT10332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

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

Verify at the official NPI Registry.