Individual provider Active NPI

Tatum Anderson, OTR/L

  • Occupational Therapist
  • South Miami, FL
National Provider Identifier
1386441863
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25869 Issued in FL
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.

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 5 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25869FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Sportmedicine & Hand Therapy Center Inc Occupational Therapist CurrentSince May 26, 2025 Accepting new patients
South Miami Sports Medicine Inc. PastSince Mar 11, 2025 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)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 25869 FL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.