Fundamentals Pediatric Therapy Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13579 Issued in FL

Legal business name

FUNDAMENTALS PEDIATRIC THERAPY SERVICES, LLC

Practice address

4140 N Meridian Ave
#1
Miami Beach, FL 33140-3321

Phone

(347) 525-4839

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Tova Fund, MS, OTR/LNPI 1407082928

Title

Member/Manager

Phone

(347) 525-4839

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tova Fund

  • Pediatric Occupational Therapist
  • Miami Beach, FL
  • NPI 1407082928
  NPD (past) Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1164841607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 N MERIDIAN AVE",
            "address_2": "#1",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 N MERIDIAN AVE",
            "address_2": "#1",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403321",
            "telephone_number": "347-525-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTALS PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "FUND",
        "authorized_official_first_name": "TOVA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "347-525-4839",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000913500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge E Fuentes, M.D.
• Mickey Fuentes, HOUSE PHYSICIAN-MD
• Alexander Fukes
• Pablo Fumero Fong, MD
• Tova Fund
• Carolina Fung Chia
• Furnari and Lofton General Partnership (South Florida Eye Care Center)
• Future Health Solutions (Future Health)
• Issak Fux
• Myriam Gabriel

• Occupational Therapist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.