Individual provider Active NPI

Keren Milena Leiva Romero

  • Occupational Therapy Assistant
  • Miami, FL
National Provider Identifier
1265005193
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
17618 Issued in FL
Practice address
454 NW 22ND Ave Ste 108
Miami, FL 33125-3355
Phone
(305) 890-9691
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 17618 FL Primary

Addresses

Primary practice location

454 NW 22ND Ave Ste 108
Miami, FL 33125-3355

Mailing address

5601 NW 1St Ave Apt 36
Miami, FL 33127-1659

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

LicenseStateTypeSpecialty
17618FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Therapy Services CurrentSince Jul 25, 2021 Accepting new patients

Locations

454 NW 22nd Ave
Ste 108
Miami, FL 33125
Phone (305) 890-9691

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1265005193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NW 1ST AVE APT 36",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253355",
            "telephone_number": "305-890-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVA ROMERO",
        "first_name": "KEREN",
        "middle_name": "MILENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.