Active NPI
Tatum Anderson, OTR/L
- Occupational Therapist
- South Miami, FL
National Provider Identifier
1386441863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25869
- Practice address
- 7000 SW 62ND Ave Ste 120
South Miami, FL 33143-4717 - Phone
- (305) 666-7116
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Physical Therapist
- Miami, FL
- NPI 1760590996
FL, Occupational Therapist
-
- Exclusive Provider Organization
- South Miami, FL
- NPI 1013211705
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Miami Sportmedicine and Hand Therapy Center Inc
Practice addresses (Care Compare)
7000 Sw62Nd Ave
Suite 120
South Miami, FL 33143-4717
Phone (305) 666-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250603003787 | FL | Practitioner - Occupational Therapist in Private Practice | 9739698473 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25869 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Miami Sportmedicine & Hand Therapy Center Inc | Occupational Therapist | Current | Accepting new patients |
| South Miami Sports Medicine Inc. | Past | Accepting new patients |
Locations
7000 SW 62nd Ave
Ste 120
South Miami, FL 33143
Phone (305) 666-7116
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25869 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7000 SW 62ND Ave Ste 120
South Miami, FL 33143-4717
Mailing address
10881 SW 125TH St
Miami, FL 33176-4644
Phone (305) 588-3615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2025.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1386441863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10881 SW 125TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331764644",
"telephone_number": "305-588-3615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SW 62ND AVE STE 120",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434717",
"telephone_number": "305-666-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TATUM",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "25869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.