Individual provider Active NPI

Andrea Lee Munoz, OTR

  • Occupational Therapist
  • Surfside, FL
National Provider Identifier
1104843754
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT#10221 Issued in FL
Practice address
8851 Hawthorne Ave
Surfside, FL 33154-3329
Phone
(386) 793-0612
NPI assigned
Jul 17, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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 OT#10221 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000494 FL Practitioner - Occupational Therapist in Private Practice 0840439592 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT#10221FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab of Florida PLLC Occupational Therapist CurrentSince Jan 5, 2018 Accepting new patients
Epic Health Solutions LLC Occupational Therapist CurrentSince Apr 17, 2013 Accepting new patients
Leverage Health, Inc. CurrentSince Aug 10, 2018 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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1104843754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FLEMINGWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379260",
            "telephone_number": "386-793-0612",
            "fax_number": "386-447-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 HAWTHORNE AVE",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331543329",
            "telephone_number": "386-793-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT#10221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.