Individual provider Active NPI

Michelle Rosana Dejesus

  • Pediatric Occupational Therapist
  • South Miami, FL
National Provider Identifier
1427522770
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
19704 Issued in FL
Practice address
7800 S Red Rd Ste 205
South Miami, FL 33143-5542
Phone
(305) 854-2471
NPI assigned
Jan 18, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 19704 FL Primary

Addresses

Primary practice location

7800 S Red Rd Ste 205
South Miami, FL 33143-5542

Mailing address

5541 NW 112TH Ave Apt 202
Doral, FL 33178-4126
Phone (352) 328-1373

Other practice location 1

8785 SW 165th Ave Ste 101
Miami, FL 33193-5827
Phone (786) 409-2646

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
19704FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
My Occupational Therapy Now, LLC. Pediatrics CurrentSince Jun 22, 2021 Accepting new patients
Kids Therapy Connection CurrentSince Dec 1, 2024 Accepting new patients

Locations

7800 SW 57th Ave
Ste 205
South Miami, FL 33143
Phone (305) 854-2471

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1427522770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 NW 112TH AVE APT 202",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784126",
            "telephone_number": "352-328-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S RED RD STE 205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435542",
            "telephone_number": "305-854-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8785 SW 165th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331935827",
            "country_code": "US",
            "telephone_number": "786-409-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "MICHELLE",
        "middle_name": "ROSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "19704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.