Individual provider Active NPI

Vivian Tamara Nunez, OTD, OTR/L

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1124845458
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25623 Issued in FL
Practice address
17670 NW 78TH Ave
Hialeah, FL 33015-3664
Phone
(305) 440-0785
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 OT25623 FL Primary

Addresses

Primary practice location

17670 NW 78TH Ave
Hialeah, FL 33015-3664

Mailing address

4925 SW 144TH Ave
Miami, FL 33175-5062
Phone (305) 316-9120

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
OT25623FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Spot LLC Occupational Therapist PastSince Aug 28, 2022 Accepting new patients
Dream to Thrive LLC Occupational Therapist PastSince Sep 29, 2024 Accepting new patients
SLP Bee Peeps, Inc PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 3

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1124845458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SW 144TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755062",
            "telephone_number": "305-316-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17670 NW 78TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153664",
            "telephone_number": "305-440-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "VIVIAN",
        "middle_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25623",
            "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 Sep 26, 2024; 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.