Individual provider Active NPI

Felipe Modenese Bastos

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1063981843
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20190125001261 FL Practitioner - Occupational Therapist in Private Practice 8224375407 Reassigns benefits to 2 organizations

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
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

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

LicenseStateTypeSpecialty
OT19039FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC CurrentSince Jul 15, 2025 Accepting new patients
Empowerme Rehabilitation Florida, LLC Single Specialty CurrentSince Jul 15, 2025 Accepting new patients
Dah Therapies LLC Single Specialty CurrentSince Dec 5, 2025 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.

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.

Verify at the official NPI Registry.