Jessica Maria Alfonso

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20830 Issued in FL

Practice address

6100 SW 130TH Ave Apt 1608
Miami, FL 33183-5231

Phone

(305) 710-2870

NPI assigned

Apr 1, 2020

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inside Out Kids Therapy LLC

  • Occupational Therapist
  • Miami, FL
  • NPI 1558945949
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1275161481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 130TH AVE APT 1608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835231",
            "telephone_number": "305-710-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SW 130TH AVE APT 1608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835231",
            "telephone_number": "305-710-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5869",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Alfonso, MD
• Ivette Alfonso, CAA
• Ivon M Alfonso
• Javier Emilio Alfonso, M.D.
• Jenny Lynn Alfonso, PHARM D
• Jesus Ernesto Alfonso, PTA
• Jose Enrique Alfonso, CRT
• Jossue Alfonso, D.M.D.
• Justo Ramon Alfonso, AP
• Lileisy Alfonso

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.