Individual provider Active NPI

Mavis Reyes, OTR

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1215359344
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19128 Issued in FL
Practice address
14750 SW 26TH St Ste 211
Miami, FL 33185-5937
Phone
(305) 220-8222
Fax
(786) 615-9608
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 19128 FL Primary

Addresses

Primary practice location

14750 SW 26TH St Ste 211
Miami, FL 33185-5937

Mailing address

14750 SW 26TH St Ste 211
Miami, FL 33185-5937
Phone (786) 416-2106

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

LicenseStateTypeSpecialty
19128FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills Builders Therapy Group Occupational Therapist CurrentSince Jan 22, 2023 Accepting new patients

Locations

14750 SW 26th St
Ste 211
Miami, FL 33185
Phone (305) 220-8222

14750 SW 26th St
Ste 208
Miami, FL 33185
Phone (786) 615-4750

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1215359344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855937",
            "telephone_number": "786-416-2106",
            "fax_number": "786-615-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855937",
            "telephone_number": "305-220-8222",
            "fax_number": "786-615-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MAVIS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2023-01-11",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19128",
            "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 Jan 11, 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.

Verify at the official NPI Registry.