Active NPI
Annie Carolina, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1417290677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17729
- Practice address
- 2500 SW 107TH Ave Ste 39
Miami, FL 33165-2492 - Phone
- (786) 631-3129
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 17729 | FL | Primary |
Addresses
Primary practice location
2500 SW 107TH Ave Ste 39
Miami, FL 33165-2492
Mailing address
5811 SW 92ND CT
Miami, FL 33173-1663
Phone (305) 833-9312
Other practice location 1
2260 SW 8th St Ste 203
Miami, FL 33135-4938
Phone (786) 275-4054
Other practice location 2
900 Bay Dr Apt 919
Miami Beach, FL 33141-5672
Phone (305) 397-8993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417290677 | Medicaid | FL | |
| 017563100 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17729 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Team Solutions Inc | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Miami Beach, FL
- NPI 1366731713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1417290677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 SW 92ND CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731663",
"telephone_number": "305-833-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 SW 107TH AVE STE 39",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652492",
"telephone_number": "786-631-3129"
}
],
"practiceLocations": [
{
"address_1": "2260 SW 8th St Ste 203",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331354938",
"country_code": "US",
"telephone_number": "786-275-4054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Bay Dr Apt 919",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331415672",
"country_code": "US",
"telephone_number": "305-397-8993",
"fax_number": "305-763-8029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAROLINA",
"first_name": "ANNIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "17729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417290677",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017563100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Carol a Horkowitz DMD PA
- Carol Da Costa MD
- Carol Da Costa MD PA
- Carolina Medical Services Inc
- Carolina Oldham MD PA
- Carolinas Speech & Language Therapy Services LLC
- Carolinas Speech & Language Therapy Services LLC
- Douglas Carollo, ARNP FNP-BC
- Carolyn Maldonado-Garcia MD PA
- Jessica M. Caroso, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.