Active NPI
Samira Philomene Jean-Louis
- Occupational Therapist
- Miami, FL
National Provider Identifier
1184955544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12343
- Practice address
- 140 NE 173Rd Street
Miami, FL 33162 - Phone
- (786) 344-4225
- Fax
- (305) 650-9104
- NPI assigned
- Jan 26, 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 | OT12343 | FL | Primary |
Addresses
Primary practice location
140 NE 173Rd Street
Miami, FL 33162
Mailing address
140 NE 173Rd St
North Miami Beach, FL 33162-1735
Phone (786) 344-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1391 NW Saint Lucie W Blvd
Suite 155
Port St Lucie, FL 34986-2196
1809 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12343 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Faith Therapy Inc. | Current | Accepting new patients | |
| New Horizon Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Locations
240 NW Peacock Blvd
Ste 104
Port Saint Lucie, FL 34986
Phone (561) 344-8254
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 Therapist
- Port Saint Lucie, FL
- NPI 1699560391
-
- Occupational Therapist
- North Miami Beach, FL
- NPI 1588911630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1184955544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NE 173RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621735",
"telephone_number": "786-344-4225",
"fax_number": "305-650-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NE 173RD STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33162",
"telephone_number": "786-344-4225",
"fax_number": "305-650-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-LOUIS",
"first_name": "SAMIRA",
"middle_name": "PHILOMENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12343",
"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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.