Active NPI
Maria Hernandez, OTR/L
- Occupational Therapist
- Davie, FL
National Provider Identifier
1346900768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4801 S University Dr Ste 101
Davie, FL 33328-3835 - Phone
- (786) 259-0300
- Fax
- (866) 665-8671
- NPI assigned
- Dec 27, 2021
- 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 | Primary |
Addresses
Primary practice location
4801 S University Dr Ste 101
Davie, FL 33328-3835
Mailing address
5614 Atlanta St
Hollywood, FL 33021-2714
Phone (786) 291-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT22629 | Other | FL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolanos Associates, LLC. | Occupational Therapist | Current | Accepting new patients |
Locations
4801 S University Dr
Ste 101
Davie, FL 33328
Phone (786) 259-0300
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.
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1427288851
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1346900768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 ATLANTA ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330212714",
"telephone_number": "786-291-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S UNIVERSITY DR STE 101",
"city": "DAVIE",
"state": "FL",
"postal_code": "333283835",
"telephone_number": "786-259-0300",
"fax_number": "866-665-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OT22629",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"address_1": "4801 S University Dr Ste 101",
"city": "Davie",
"state": "FL",
"country_code": "US",
"postal_code": "333283835",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.