Individual provider Active NPI

Leonardo Valentim De Oliveira

  • Occupational Therapy Assistant
  • Pembroke Pines, FL
National Provider Identifier
1245570951
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
12848 Issued in FL
Practice address
601 NW 96TH Ter
Pembroke Pines, FL 33024-6232
Phone
(954) 907-6783
Fax
(954) 241-6726
NPI assigned
Feb 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 12848 FL Primary

Addresses

Primary practice location

601 NW 96TH Ter
Pembroke Pines, FL 33024-6232

Mailing address

601 NW 96TH Ter
Pembroke Pines, FL 33024-6232
Phone (954) 907-6783

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
12848FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Therapy House 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1245570951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 96TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246232",
            "telephone_number": "954-907-6783",
            "fax_number": "954-241-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 96TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246232",
            "telephone_number": "954-907-6783",
            "fax_number": "954-241-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "LEONARDO",
        "middle_name": "VALENTIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "12848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.