Andrea Lee Munoz, OTR
Individual provider Active NPI Occupational Therapist · Surfside, FL
NPI 1104843754 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1104843754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT#10221 (FL)
- Practice address
- 8851 Hawthorne Ave
Surfside, FL 33154-3329 - Phone
- (386) 793-0612
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000494 | FL | Practitioner - Occupational Therapist in Private Practice | 0840439592 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT#10221 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Solutions LLC | Occupational Therapist | Current |
Accepting new patients |
| In Home Rehab of Florida PLLC | Occupational Therapist | Current |
Accepting new patients |
| Leverage Health, Inc. | Current |
Accepting new patients | |
| Children First Therapeutics LLC | Past | Accepting new patients |
Locations
2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT#10221 | FL | Yes |
Addresses
Primary practice location
8851 Hawthorne Ave
Surfside, FL 33154-3329
Mailing address
65 Flemingwood LN
Palm Coast, FL 32137-9260
Phone (386) 793-0612
Other providers in Surfside, FL
- Jennifer M Lopez
- Lovecareresearch
- Samuel Eugene Maya
- Adrienne Michaels
- Ileana Modelo
- Shane Devanand Naidoo
- Oberle Opticians
- Ocean Pediatrics, LLC
- Ariel Okhah
- Tamar Z Oppenheimer
All providers in Surfside, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.