Individual provider Active NPI

Annie Carolina, OTR/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1417290677
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17729 Issued in FL
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

Updated by the provider on May 24, 2024

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 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

IdentifierTypeStateIssuer
1417290677MedicaidFL
017563100MedicaidFL

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

LicenseStateTypeSpecialty
17729FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Team Solutions Inc PastSince Jun 23, 2024 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.

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

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.

Verify at the official NPI Registry.