Prema for Kids Corp.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 15207 Issued in FL

Legal business name

PREMA FOR KIDS CORP.

Practice address

1250 E Hallandale Beach Blvd
Suite 502
Hallandale Beach, FL 33009-4634

Phone

(786) 546-0403

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Fabiana Martin, OTR

Title

Occupational Therapist

Phone

(786) 546-0403

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1104297217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 502",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "786-546-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 502",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "786-546-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMA FOR KIDS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FABIANA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "786-546-0403",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 12311",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 15207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.