Active NPI
Kerilee Alexis Neita, OTD, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1124865043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25355
- Practice address
- 12448 SW 127TH Ave # 104
Miami, FL 33186-6596 - Phone
- (305) 255-5980
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- 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 | 25355 | FL | Primary |
Addresses
Primary practice location
12448 SW 127TH Ave # 104
Miami, FL 33186-6596
Mailing address
23481 SW 113TH Pass
Homestead, FL 33032-7155
Phone (786) 630-0638
Other practice location 1
23481 SW 113th Pass
Homestead, FL 33032-7155
Phone (786) 630-0638
Other practice location 2
10000 SW 56th St Ste 10
Miami, FL 33165-7161
Phone (786) 542-5774
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 |
|---|---|---|---|
| 25355 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Therapy Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1124865043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23481 SW 113TH PASS",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327155",
"telephone_number": "786-630-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12448 SW 127TH AVE # 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866596",
"telephone_number": "305-255-5980"
}
],
"practiceLocations": [
{
"address_1": "23481 SW 113th Pass",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330327155",
"country_code": "US",
"telephone_number": "786-630-0638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10000 SW 56th St Ste 10",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331657161",
"country_code": "US",
"telephone_number": "786-542-5774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEITA",
"first_name": "KERILEE",
"middle_name": "ALEXIS",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "25355",
"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 Jul 15, 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.