Individual provider Active NPI

Yahily Andreu Siberio

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1114423910
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19160 Issued in FL
Practice address
4720 SW 97TH Ave
Miami, FL 33165-5876
Phone
(786) 525-6967
Fax
(786) 607-9398
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 19160 FL Primary

Addresses

Primary practice location

4720 SW 97TH Ave
Miami, FL 33165-5876

Mailing address

12255 SW 39TH St
Miami, FL 33175-3013
Phone (786) 521-4183

Other practice location 1

1441 SW 1st St
Miami, FL 33135-2202
Phone (305) 541-0034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921001690 FL Practitioner - Occupational Therapist in Private Practice 5597119784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Physical Therapy L.L.C.Group PAC ID 2860704194, 7 clinicians

Practice addresses (Care Compare)

3655 NW 107TH Ave
Suite 107
Doral, FL 33178-4328
Phone (786) 452-0774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19160FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Physical Therapy L.L.C. Single Specialty CurrentSince Dec 15, 2023 Accepting new patients
KJ Therapy Services LLC Single Specialty CurrentSince Apr 16, 2023 Accepting new patients
Coral Gables Physical Therapy, L.L.C. CurrentSince Oct 9, 2023 Accepting new patients
Angels Hands Rehab Services, LLC PastSince Oct 17, 2021 Accepting new patients
SLP Care, Inc Single Specialty PastSince Apr 13, 2025 Accepting new patients

Locations

4110 Aurora St
Coral Gables, FL 33146
Phone (305) 218-8929

3655 NW 107th Ave
Ste 107
Doral, FL 33178
Phone (786) 452-0774

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1114423910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 SW 39TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753013",
            "telephone_number": "786-521-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655876",
            "telephone_number": "786-525-6967",
            "fax_number": "786-607-9398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 SW 1st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352202",
            "country_code": "US",
            "telephone_number": "305-541-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREU SIBERIO",
        "first_name": "YAHILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19160",
            "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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.