Active NPI
Adi Braha, OTR/L
- Occupational Therapist
- Miami Lakes, FL
National Provider Identifier
1336756584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21169
- Practice address
- 15291 NW 60TH Ave Ste 101
Miami Lakes, FL 33014-2459 - Phone
- (305) 705-7702
- NPI assigned
- Sep 30, 2020
- Last updated
- Sep 30, 2020
- 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 | 21169 | FL | Primary |
Addresses
Primary practice location
15291 NW 60TH Ave Ste 101
Miami Lakes, FL 33014-2459
Mailing address
2600 Island Blvd Apt 2501
Aventura, FL 33160-5211
Phone (954) 240-4300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21169 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1336756584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 ISLAND BLVD APT 2501",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331605211",
"telephone_number": "954-240-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15291 NW 60TH AVE STE 101",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142459",
"telephone_number": "305-705-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHA",
"first_name": "ADI",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.