Individual provider Active NPI

Samantha Hernandez

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1134773500
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTA14035 Issued in FL
Practice address
1300 Coral Way Ste 207
Miami, FL 33145-2934
Phone
(305) 854-7244
Fax
(786) 375-5544
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTA14035 FL Primary

Addresses

Primary practice location

1300 Coral Way Ste 207
Miami, FL 33145-2934

Mailing address

1300 Coral Way Ste 207
Miami, FL 33145-2934
Phone (305) 854-7244

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
OTA14035FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Time, Inc CurrentSince Feb 23, 2020 Accepting new patients

Locations

1300 SW 22nd St
Ste 207
Miami, FL 33145
Phone (305) 854-7244

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1134773500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CORAL WAY STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452934",
            "telephone_number": "305-854-7244",
            "fax_number": "786-375-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CORAL WAY STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452934",
            "telephone_number": "305-854-7244",
            "fax_number": "786-375-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OTA14035",
            "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 24, 2019; 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.