Active NPI
John G Lebeau, OT
- Occupational Therapist
- Miami, FL
National Provider Identifier
1235321845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12845
- Practice address
- 12380 SW 82ND Ave
Miami, FL 33156-5223 - Phone
- (786) 242-5710
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- Sex
- Male
- 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 | OT12845 | FL | Primary |
Addresses
Primary practice location
12380 SW 82ND Ave
Miami, FL 33156-5223
Mailing address
12380 SW 82ND Ave
Miami, FL 33156-5223
Phone (786) 242-5710
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 |
|---|---|---|---|
| OT12845 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skill Builders for Kids, Inc. | Occupational Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1760489124
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1235321845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12380 SW 82ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565223",
"telephone_number": "786-242-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 SW 82ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565223",
"telephone_number": "786-242-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEAU",
"first_name": "JOHN",
"middle_name": "G",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Leavitt Medical Associates of Florida Inc (advanced dermatology and cosmetic surgery)
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Leavitt Medical Associates of Florida Inc. (Advanced Dermatology and Cosmetic Surgery)
- James S Leavitt, M.D.
- Tatiana Viktorovna Lebed, APRN
- Karin Kassandra Lebess, APRN
- Aurelia B Leblanc Nunez, MD
- Eric Jeffrey Lebowitz, DDS
- Heidi Maria Lebredo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.