Active NPI
Samantha Alexys Perez, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1194593392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24772
- Practice address
- 12966 SW 89TH Ave
Miami, FL 33176-5850 - Phone
- (786) 554-8920
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 24772 | FL | Primary |
Addresses
Primary practice location
12966 SW 89TH Ave
Miami, FL 33176-5850
Mailing address
14867 SW 177TH Ter
Miami, FL 33187-6763
Phone (305) 495-3877
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 |
|---|---|---|---|
| 24772 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Therapy Behavioral | Current | Accepting new patients | |
| Beyond Therapy Team LLC | Occupational Therapist | Current | Accepting new patients |
Locations
12966 SW 89th Ave
Miami, FL 33176
Phone (786) 554-8920
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1295328995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1194593392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14867 SW 177TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331876763",
"telephone_number": "305-495-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12966 SW 89TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765850",
"telephone_number": "786-554-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SAMANTHA",
"middle_name": "ALEXYS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "24772",
"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 Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.