Individual provider Active NPI

Diandra Hamilton

  • Occupational Therapist
  • Sunrise, FL
National Provider Identifier
1376035089
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18893 Issued in FL
Practice address
14201 W. Sunrise Blvd.
Unit 107
Sunrise, FL 33323
Phone
(954) 756-2818
Fax
(954) 514-1126
NPI assigned
May 30, 2018
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT18893 FL
Occupational Therapist 225X00000X 18893 FL Primary

Addresses

Primary practice location

14201 W. Sunrise Blvd.
Unit 107
Sunrise, FL 33323

Mailing address

14201 W. Sunrise Blvd.
Unit 107
Sunrise, FL 33323
Phone (954) 756-2818

Other identifiers 1

IdentifierTypeStateIssuer
100054600MedicaidFL

Other names 1

  • Diandra Brown Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000252 FL Practitioner - Occupational Therapist in Private Practice 7214399468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18893FLMDOccupational Therapist
OT18893FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strength and Balance Institute Occupational Therapist CurrentSince May 9, 2023 Accepting new patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince May 9, 2023 Accepting new patients
Adults to Pediatrics Therapy LLC Single Specialty PastSince Aug 25, 2010 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

Organizations & group practices 3

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1376035089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W. SUNRISE BLVD.",
            "address_2": "UNIT 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W. SUNRISE BLVD.",
            "address_2": "UNIT 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DIANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18893",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANDRA",
            "last_name": "BROWN",
            "credential": "MOTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.