Individual provider Active NPI

Alicia Michele Delgado, OTR/L

  • Occupational Therapist
  • Cutler Bay, FL
National Provider Identifier
1194166546
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15768 Issued in FL
Practice address
21520 SW 97TH PL
Cutler Bay, FL 33189-3718
Phone
(786) 554-8920
Fax
(786) 661-4862
NPI assigned
Jul 15, 2013
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15768 FL Primary

Addresses

Primary practice location

21520 SW 97TH PL
Cutler Bay, FL 33189-3718

Mailing address

10633 SW 129TH PL
Miami, FL 33186-3551
Phone (786) 554-8920

Other names 1

  • Alicia Brimo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114002439 FL Practitioner - Occupational Therapist in Private Practice 5395048946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15768FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Minds Therapy Team LLC Occupational Therapist Current Accepting new patients
Beyond Therapy Behavioral CurrentSince Feb 21, 2021 Accepting new patients
Beyond Therapy Team LLC Occupational Therapist CurrentSince Oct 19, 2020 Accepting new patients
Kinetic Kids, Inc. Occupational Therapist Past Accepting new patients
Kinetic Kids, Inc Past Accepting new patients

Locations

12966 SW 89th Ave
Miami, FL 33176
Phone (786) 554-8920

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1194166546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 SW 129TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863551",
            "telephone_number": "786-554-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 SW 97TH PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893718",
            "telephone_number": "786-554-8920",
            "fax_number": "786-661-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALICIA",
        "middle_name": "MICHELE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "BRIMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.