Active NPI
Rafael Sosa
- Occupational Therapist
- Weston, FL
National Provider Identifier
1053158048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25372
- Practice address
- 4030 Palm PL
Weston, FL 33331-5036 - Phone
- (312) 792-4665
- NPI assigned
- Jul 9, 2024
- Last updated
- Jul 11, 2024
- 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 | 25372 | FL | Primary |
Addresses
Primary practice location
4030 Palm PL
Weston, FL 33331-5036
Mailing address
4030 Palm PL
Weston, FL 33331-5036
Phone (312) 792-4665
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 |
|---|---|---|---|
| 25372 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1053158048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 PALM PL",
"city": "WESTON",
"state": "FL",
"postal_code": "333315036",
"telephone_number": "312-792-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 PALM PL",
"city": "WESTON",
"state": "FL",
"postal_code": "333315036",
"telephone_number": "312-792-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "RAFAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "25372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
- Andrea Hilarie Sommers, D.O.
- Alice Sonnino, MD
- Alberto Sorell Perdomo
- Alexandra M Soriano Caminero, M.D.
- Sandra Sorrentino, LMHC
- Tatiana Sosa
- Gustavo Rene Sotillo Ochoa, RNFA
- South Broward Hospital District (Memorial Primary Care Weston)
- South Florida Psych and Concierge Services
- South Florida Urgent Care Centers, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.