NPIMap

Organization Active NPI

Wellcare Therapy Group, Inc

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1093128126
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTA11330 Issued in FL
Legal business name
WELLCARE THERAPY GROUP, INC
Practice address
1665 W 68TH St
Unit 105
Hialeah, FL 33014-4400
Phone
(305) 205-8011
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Mrs. Lisete B Carnicer, OCCUPATIONAL THERAPY
Title
President
Phone
(305) 205-8011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTA11330 FL Primary

Addresses

Primary practice location

1665 W 68TH St
Unit 105
Hialeah, FL 33014-4400

Mailing address

1665 W 68TH St
Unit 105
Hialeah, FL 33014-4400
Phone (305) 205-8011

National Provider Directory

National Provider Directory

Locations

1665 W 68th St
Ste 105
Hialeah, FL 33014
Phone (305) 205-8011

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1093128126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 W 68TH ST",
            "address_2": "UNIT 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144400",
            "telephone_number": "305-205-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 W 68TH ST",
            "address_2": "UNIT 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144400",
            "telephone_number": "305-205-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CARNICER",
        "authorized_official_first_name": "LISETE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-8011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OCCUPATIONAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTA11330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.