Individual provider Active NPI

Giany Gutierrez, OAT

  • Occupational Therapy Assistant
  • Miami Lakes, FL
National Provider Identifier
1417253717
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA17340 Issued in FL
Practice address
9055 NW 147TH Ter
Miami Lakes, FL 33018-7304
Phone
(305) 781-7636
NPI assigned
Feb 3, 2011
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OAT11571 FL
Occupational Therapy Assistant 224Z00000X OTA17340 FL Primary

Addresses

Primary practice location

9055 NW 147TH Ter
Miami Lakes, FL 33018-7304

Mailing address

5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400
Phone (305) 362-3300

Other practice location 1

5979 NW 151st St
Suite 108
Miami Lakes, FL 33014-2400
Phone (305) 362-3300

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
OAT11571FLMDOccupational Therapy Assistant
OTA17340FLMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1417253717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST",
            "address_2": "SUITE 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142400",
            "telephone_number": "305-362-3300",
            "fax_number": "305-362-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 NW 147TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330187304",
            "telephone_number": "305-781-7636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 NW 151st St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142400",
            "country_code": "US",
            "telephone_number": "305-362-3300",
            "fax_number": "305-362-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GIANY",
        "credential": "OAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OAT11571",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.