Individual provider Active NPI

Maritza L Doria Segura

  • Occupational Therapist
  • Doral, FL
National Provider Identifier
1043906597
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24114 Issued in FL
Practice address
8652 NW 112TH CT
Doral, FL 33178-5609
Phone
(626) 487-3228
NPI assigned
Apr 17, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 24114 FL Primary

Addresses

Primary practice location

8652 NW 112TH CT
Doral, FL 33178-5609

Mailing address

10171 NW 32ND Ter
Doral, FL 33172-5914
Phone (626) 487-3228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004702 FL Practitioner - Occupational Therapist in Private Practice 2163965765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24114FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Give Me 5 Academy Inc CurrentSince Apr 14, 2024 Accepting new patients
Motherapy4 Inc Occupational Therapist CurrentSince Dec 1, 2023 Accepting new patients
Beyond Therapy Team LLC Occupational Therapist Past Accepting new patients

Locations

4180 SW 74th Ct
Ste 202
Miami, FL 33155
Phone (768) 464-0369

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1043906597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10171 NW 32ND TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725914",
            "telephone_number": "626-487-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 NW 112TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331785609",
            "telephone_number": "626-487-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIA SEGURA",
        "first_name": "MARITZA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.