Individual provider Active NPI

Lyanet De la Cotera, OTR/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1063718799
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12171 Issued in FL
Practice address
12039 SW 132ND CT
5
Miami, FL 33186-4783
Phone
(786) 417-1303
Fax
(305) 232-9693
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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 OT12171 FL Primary

Addresses

Primary practice location

12039 SW 132ND CT
5
Miami, FL 33186-4783

Mailing address

12039 SW 132ND CT
5
Miami, FL 33186-4783
Phone (786) 417-1303

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1063718799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT",
            "address_2": "5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864783",
            "telephone_number": "786-417-1303",
            "fax_number": "305-232-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT",
            "address_2": "5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864783",
            "telephone_number": "786-417-1303",
            "fax_number": "305-232-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA COTERA",
        "first_name": "LYANET",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12171",
            "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 Jan 27, 2011; 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.