Active NPI
Felipe Modenese Bastos
- Occupational Therapist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3194 Gifford LN
Miami, FL 33133-4431 - Phone
- (571) 345-4224
- NPI assigned
- Nov 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Occupational Therapist | 225X00000X | OT19039 | FL |
Addresses
Primary practice location
3194 Gifford LN
Miami, FL 33133-4431
Mailing address
3194 Gifford LN
Miami, FL 33133-4431
Phone (571) 345-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11330 Countryway Blvd
Tampa, FL 33626-2670
Phone (813) 921-8502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT19039 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Florida, LLC | Single Specialty | Current | Accepting new patients |
| Dah Therapies LLC | Single Specialty | Current | Accepting new patients |
Locations
3461 Bonita Bay Blvd
Ste 101
Bonita Springs, FL 34134
Phone (239) 398-6214
4800 Aston Gardens Way
Naples, FL 34109
Phone (239) 300-1301
11330 Countryway Blvd
Westchase, FL 33626
Phone (813) 536-4723
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
Single Specialty
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1063981843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3194 GIFFORD LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334431",
"telephone_number": "571-345-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3194 GIFFORD LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334431",
"telephone_number": "571-345-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTOS",
"first_name": "FELIPE",
"middle_name": "MODENESE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-21",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19039",
"primary": false
}
],
"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 Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.