Individual provider Active NPI

Genesis Amaya

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1093390692
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21700 Issued in FL
Practice address
12966 SW 89TH Ave
Miami, FL 33176-5850
Phone
(786) 554-8920
Fax
(786) 661-4862
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21700 FL Primary

Addresses

Primary practice location

12966 SW 89TH Ave
Miami, FL 33176-5850

Mailing address

14761 Polk St
Miami, FL 33176-7535
Phone (786) 348-7253

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

LicenseStateTypeSpecialty
OT21700FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Therapy Team LLC Occupational Therapist CurrentSince Mar 21, 2021 Accepting new patients
Beyond Therapy Behavioral CurrentSince Mar 21, 2021 Accepting new patients

Locations

12966 SW 89th Ave
Miami, FL 33176
Phone (786) 554-8920

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1093390692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14761 POLK ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767535",
            "telephone_number": "786-348-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765850",
            "telephone_number": "786-554-8920",
            "fax_number": "786-661-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "GENESIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21700",
            "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 29, 2021; 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.