Active NPI
Nubia Patricia Nelson
- Occupational Therapist
- Miami, FL
National Provider Identifier
1073678686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 2485
- Practice address
- 970 SW 1St Street
Suite 305
Miami, FL 33130-1169 - Phone
- (305) 324-1717
- Fax
- (305) 324-1716
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OT 2485 | FL | Primary |
Addresses
Primary practice location
970 SW 1St Street
Suite 305
Miami, FL 33130-1169
Mailing address
2419 S Red Rd
Miami, FL 33155-3167
Phone (305) 662-8561
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 |
|---|---|---|---|
| OT 2485 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magic Rehabilitation Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Coral Gables, FL
- NPI 1710084991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073678686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 S RED RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553167",
"telephone_number": "305-662-8561",
"fax_number": "305-324-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 SW 1ST STREET",
"address_2": "SUITE 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331301169",
"telephone_number": "305-324-1717",
"fax_number": "305-324-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "NUBIA",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 2485",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.