Active NPI
Cherise Marie Medina, OTT
- Occupational Therapist
- Coral Springs, FL
National Provider Identifier
1174832422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14341
- Practice address
- 9699 W Sample Rd
Coral Springs, FL 33065-4001 - Phone
- (954) 344-7771
- Fax
- (954) 344-6475
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 14341 | FL | Primary |
Addresses
Primary practice location
9699 W Sample Rd
Coral Springs, FL 33065-4001
Mailing address
9699 W Sample Rd
Coral Springs, FL 33065-4001
Phone (954) 344-7771
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 |
|---|---|---|---|
| 14341 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapy Clinic/Center
- Coral Springs, FL
- NPI 1740392497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1174832422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9699 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654001",
"telephone_number": "954-344-7771",
"fax_number": "954-344-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9699 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654001",
"telephone_number": "954-344-7771",
"fax_number": "954-344-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CHERISE",
"middle_name": "MARIE",
"credential": "OTT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "14341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.