Active NPI
Skyler So
- Occupational Therapist
- Miami, FL
National Provider Identifier
1114894623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11282
- Practice address
- 10822 SW 91St LN
Miami, FL 33176-1396 - Phone
- (786) 525-5003
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11282 | FL | Primary |
Addresses
Primary practice location
10822 SW 91St LN
Miami, FL 33176-1396
Mailing address
10822 SW 91St LN
Miami, FL 33176-1396
Phone (786) 525-5003
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT11282 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1114894623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10822 SW 91ST LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761396",
"telephone_number": "786-525-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10822 SW 91ST LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761396",
"telephone_number": "786-525-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "SKYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-24",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11282",
"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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.