Individual provider Active NPI

Daniella Patricia Bendixen, OTR/L

  • Hand Occupational Therapist
  • Coconut Grove, FL
National Provider Identifier
1083387773
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT21639 Issued in FL
Practice address
2750 SW 37TH Ave
Coconut Grove, FL 33133-2764
Phone
(305) 642-4263
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OT21639 FL
Hand Occupational Therapist 225XH1200X OT21639 FL Primary

Addresses

Primary practice location

2750 SW 37TH Ave
Coconut Grove, FL 33133-2764

Mailing address

9392 SW 77TH Ave Apt E6
Miami, FL 33156-7958
Phone (305) 965-0930

Other practice location 1

7401 Miami Lakes Dr
Miami Lakes, FL 33014-6818
Phone (786) 500-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814004533 FL Practitioner - Occupational Therapist in Private Practice 5496293953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT21639FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Sportmedicine & Hand Therapy Center Inc CurrentSince Jul 26, 2024 Accepting new patients
South Miami Sports Medicine Inc. PastSince Jul 26, 2024 Accepting new patients

Locations

7000 SW 62nd Ave
Ste 120
South Miami, FL 33143
Phone (305) 666-7116

Organizations & group practices 2

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1083387773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9392 SW 77TH AVE APT E6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567958",
            "telephone_number": "305-965-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-642-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Miami Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146818",
            "country_code": "US",
            "telephone_number": "786-500-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDIXEN",
        "first_name": "DANIELLA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT21639",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT21639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.