Active NPI
Jean Carlos Inoa
- Occupational Therapist
- Cutler Bay, FL
National Provider Identifier
1053088237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22043
- Practice address
- 19301 SW 87TH Ave
Cutler Bay, FL 33157-8904 - Phone
- (305) 256-3500
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- 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 Therapist | 225X00000X | 22043 | FL | Primary |
Addresses
Primary practice location
19301 SW 87TH Ave
Cutler Bay, FL 33157-8904
Mailing address
56 Bellevue Rd # 2
Lynn, MA 01904-2808
Phone (617) 271-9135
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 |
|---|---|---|---|
| 22043 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1053088237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BELLEVUE RD # 2",
"city": "LYNN",
"state": "MA",
"postal_code": "019042808",
"telephone_number": "617-271-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19301 SW 87TH AVE",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331578904",
"telephone_number": "305-256-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOA",
"first_name": "JEAN",
"middle_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.