Individual provider Active NPI

Nadia Mufdi, OTR/L

  • Pediatric Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1366671315
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT12654 Issued in FL
Practice address
8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314
Phone
(239) 433-6700
Fax
(239) 433-6706
NPI assigned
Jul 13, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT12654 FL Primary

Addresses

Primary practice location

8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314

Mailing address

8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108000461 FL Practitioner - Occupational Therapist in Private Practice 1951839794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimized Therapy Transitions, LLC CurrentSince Sep 23, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1366671315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120314",
            "telephone_number": "239-433-6700",
            "fax_number": "239-433-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFDI",
        "first_name": "NADIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.