Individual provider Active NPI

Juan Gabriel Colome, OTR/L

  • Occupational Therapist
  • Homestead, FL
National Provider Identifier
1215425483
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19204 Issued in FL
Practice address
897 N Homestead Blvd Ste 101
Homestead, FL 33030-5024
Phone
(786) 217-0014
NPI assigned
Apr 24, 2018
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 OT19204 FL Primary

Addresses

Primary practice location

897 N Homestead Blvd Ste 101
Homestead, FL 33030-5024

Mailing address

2480 SW 27TH St
Miami, FL 33133-2236
Phone (305) 546-8028

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1215425483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SW 27TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332236",
            "telephone_number": "305-546-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 N HOMESTEAD BLVD STE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305024",
            "telephone_number": "786-217-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOME",
        "first_name": "JUAN GABRIEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.