Active NPI
Gissel Lucia Rodmon, OTR L
- Occupational Therapist
- Aventura, FL
National Provider Identifier
1316015035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 12187
- Practice address
- 20704 W Dixie Hwy
Aventura, FL 33180-1146 - Phone
- (305) 933-5887
- Fax
- (305) 399-8991
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 12187 | FL | Primary |
Addresses
Primary practice location
20704 W Dixie Hwy
Aventura, FL 33180-1146
Mailing address
100 NW 108TH Ter
Apt 102
Pembroke Pines, FL 33026-4086
Phone (786) 859-1038
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12187 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316015035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 108TH TER",
"address_2": "APT 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264086",
"telephone_number": "786-859-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20704 W DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801146",
"telephone_number": "305-933-5887",
"fax_number": "305-399-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODMON",
"first_name": "GISSEL",
"middle_name": "LUCIA",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.