Individual provider Active NPI

Ana Lucila Osejo

  • Occupational Therapy Assistant
  • Goulds, FL
National Provider Identifier
1376107227
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA17157 Issued in FL
Practice address
22125A S Dixie Hwy
Goulds, FL 33170-2840
Phone
(786) 293-3933
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 OTA17157 FL Primary

Addresses

Primary practice location

22125A S Dixie Hwy
Goulds, FL 33170-2840

Mailing address

24408 SW 108TH Ave
Homestead, FL 33032-5158
Phone (786) 308-9997

Other practice location 1

27571 S Dixie Hwy
Naranja, FL 33032-8297
Phone (786) 282-4392

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
OTA17157FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapy Professionals Inc PastSince Apr 6, 2023 Accepting new patients
Allied Therapy Professionals Inc Past Accepting new patients

Organizations & group practices 2

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1376107227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24408 SW 108TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325158",
            "telephone_number": "786-308-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22125A S DIXIE HWY",
            "city": "GOULDS",
            "state": "FL",
            "postal_code": "331702840",
            "telephone_number": "786-293-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27571 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Naranja",
            "state": "FL",
            "postal_code": "330328297",
            "country_code": "US",
            "telephone_number": "786-282-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEJO",
        "first_name": "ANA",
        "middle_name": "LUCILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goulds, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.