Individual provider Active NPI

Aimee Sardinas, COTA

  • Occupational Therapy Assistant
  • Hialeah, FL
National Provider Identifier
1104339977
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA16110 Issued in FL
Practice address
17670 NW 78TH Ave Ste 113
Hialeah, FL 33015-3665
Phone
(305) 512-5757
Fax
(305) 512-5755
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X OTA16110 FL Primary

Addresses

Primary practice location

17670 NW 78TH Ave Ste 113
Hialeah, FL 33015-3665

Mailing address

11856 SW 98TH Ter
Miami, FL 33186-2766

Other practice location 1

17670 NW 78th Ave Ste 113
Hialeah, FL 33015-3665
Phone (305) 512-5757

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
OTA16110FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1104339977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11856 SW 98TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE STE 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153665",
            "telephone_number": "305-512-5757",
            "fax_number": "305-512-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17670 NW 78th Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330153665",
            "country_code": "US",
            "telephone_number": "305-512-5757",
            "fax_number": "305-512-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDINAS",
        "first_name": "AIMEE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16110",
            "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 Nov 14, 2017; 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.