Individual provider Active NPI

Melissa Acosta Hernandez, OTR/L, LLCC

  • Occupational Therapist
  • Doral, FL
National Provider Identifier
1235401647
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16667 Issued in FL
Practice address
3901 NW 79TH Ave Ste 122
Doral, FL 33166-6554
Phone
(319) 855-8098
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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 16667 FL Primary

Addresses

Primary practice location

3901 NW 79TH Ave Ste 122
Doral, FL 33166-6554

Mailing address

6500 SW 152ND PL
Miami, FL 33193-2159
Phone (319) 855-8098

Other names 1

  • Melissa Acosta Former name

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

State licenses

LicenseStateTypeSpecialty
16667FLMDMental Health Counselor
002028IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spanda Inc Occupational Therapist CurrentSince Mar 21, 2012 Accepting new patients
The Center for Lymphatic Therapy Occupational Therapist Past Accepting new patients
Molloy Therapy LLC Occupational Therapist PastSince Mar 1, 2016 Accepting new patients

Locations

3235 Williams Pkwy SW
Ste 1
Cedar Rapids, IA 52404
Phone (319) 364-2311

Organizations & group practices 3

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1235401647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SW 152ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932159",
            "telephone_number": "319-855-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 122",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "319-855-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MELISSA",
        "middle_name": "ACOSTA",
        "credential": "OTR/L, LLCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "16667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ACOSTA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.