Individual provider Active NPI

Cecilia O Jelinek, OTR/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1386958288
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 9913 Issued in FL
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

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
Advance Therapy Works IncGroup PAC ID 2365521911, 6 clinicians

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

LicenseStateTypeSpecialty
OT 9913FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy Works Inc CurrentSince Feb 28, 2019 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.

Verify at the official NPI Registry.