Individual provider Active NPI

Wilsie Louidor, COTA/L

  • Occupational Therapy Assistant
  • Coral Gables, FL
National Provider Identifier
1346789096
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
15600 Issued in FL
Practice address
2153 Coral Way
602
Coral Gables, FL 33145-2631
Phone
(305) 856-1999
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 15600 FL Primary

Addresses

Primary practice location

2153 Coral Way
602
Coral Gables, FL 33145-2631

Mailing address

2153 Coral Way
602
Coral Gables, FL 33145-2631
Phone (305) 856-1999

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
15600FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Center, Inc. Past Accepting new patients

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1346789096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 CORAL WAY",
            "address_2": "602",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452631",
            "telephone_number": "305-856-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 CORAL WAY",
            "address_2": "602",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452631",
            "telephone_number": "305-856-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIDOR",
        "first_name": "WILSIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.