Active NPI
Melissa Acosta Hernandez, OTR/L, LLCC
- Occupational Therapist
- Doral, FL
National Provider Identifier
1235401647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16667
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16667 | FL | MD | Mental Health Counselor |
| 002028 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spanda Inc | Occupational Therapist | Current | Accepting new patients |
| The Center for Lymphatic Therapy | Occupational Therapist | Past | Accepting new patients |
| Molloy Therapy LLC | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Doral, FL
- NPI 1750772521
-
- Occupational Therapist
- Cedar Rapids, IA
- NPI 1184083701
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.