Alis Leydis Condis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16811 Issued in FL

Practice address

8121 NW 197TH St
Hialeah, FL 33015-6344

Phone

(786) 608-2619

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alc Integrated Therapy, Corp

  • Occupational Therapist
  • Hialeah, FL
  • NPI 1972493112
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1265117923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 NW 197TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156344",
            "telephone_number": "786-608-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NW 197TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156344",
            "telephone_number": "786-608-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIS",
        "first_name": "ALIS",
        "middle_name": "LEYDIS",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Maria Conde Fernandez
• Janet C Conde
• Karina Conde, RBT
• Wardy Maria Conde, LMHC
• Zoila Conde, R.PH
• Ebony Coney, PSY.D.
• Shahala Patrice Conner
• Consalud Community Mental Health LLC
• Consalud Medical Center LLC
• Rene Miguel Consuegra Diaz, DDS

• Occupational Therapy Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.