Active NPI
Cecilia O Jelinek, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1386958288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9913
- Practice address
- 12060 SW 129TH CT
Ste 107
Miami, FL 33186-4582 - Phone
- (305) 378-5247
- Fax
- (305) 378-6760
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 9913 | FL | Primary |
Addresses
Primary practice location
12060 SW 129TH CT
Ste 107
Miami, FL 33186-4582
Mailing address
12060 SW 129TH CT
Ste 107
Miami, FL 33186-4582
Phone (305) 378-5247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180507001559 | FL | Practitioner - Occupational Therapist in Private Practice | 2668736224 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12060 SW 129TH CT
Suite 107
Miami, FL 33186-4582
Phone (305) 378-5247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 9913 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Therapy Works Inc | Current | Accepting new patients |
Locations
12060 SW 129th Ct
Ste 107
Miami, FL 33186
Phone (305) 378-5247
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1386958288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12060 SW 129TH CT",
"address_2": "STE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864582",
"telephone_number": "305-378-5247",
"fax_number": "305-378-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12060 SW 129TH CT",
"address_2": "STE 107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864582",
"telephone_number": "305-378-5247",
"fax_number": "305-378-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELINEK",
"first_name": "CECILIA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 9913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.