Individual provider Active NPI

Justin Lee Chevere, OT

  • Occupational Therapist
  • Hollywood, FL
National Provider Identifier
1255940888
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25947 Issued in FL
Practice address
2525 Embassy Dr Ste 13
Hollywood, FL 33026-4573
Phone
(754) 888-9616
NPI assigned
Jul 29, 2020
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 OT25947 FL Primary

Addresses

Primary practice location

2525 Embassy Dr Ste 13
Hollywood, FL 33026-4573

Mailing address

4932 NW 105TH Dr
Coral Springs, FL 33076-1761
Phone (954) 913-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003375 FL Practitioner - Occupational Therapist in Private Practice 5799201695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Rehabilitation Center, Inc.Group PAC ID 4082646054, 3 clinicians

Practice addresses (Care Compare)

9900 Stirling Rd
Suite 303
Hollywood, FL 33024-8066
Phone (954) 432-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Rehabilitation Center, Inc. CurrentSince Mar 18, 2025 Accepting new patients
Epd Speech and Occupational Therapy Inc. Occupational Therapist PastSince Aug 1, 2020 Accepting new patients
Neurological Testing Centers of America Inc. Past Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 210
Hallandale Beach, FL 33009
Phone (954) 458-2202

9900 Stirling Rd
Ste 303
Hollywood, FL 33024
Phone (954) 432-8872

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1255940888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 NW 105TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761761",
            "telephone_number": "954-913-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR STE 13",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "754-888-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVERE",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.