Individual provider Active NPI

Amy Ruth Guadalupe, MS OTR/L

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1427563055
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
18812 Issued in FL
Practice address
12595 SW 137TH Ave Ste 303
Miami, FL 33186-4222
Phone
(786) 219-0151
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 18812 FL Primary
Occupational Therapist 225X00000X 18812 FL

Addresses

Primary practice location

12595 SW 137TH Ave Ste 303
Miami, FL 33186-4222

Mailing address

12595 SW 137TH Ave Ste 303
Miami, FL 33186-4222
Phone (786) 219-0151

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18812FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Therapy, Inc Pediatrics 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, 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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1427563055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864222",
            "telephone_number": "786-219-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12595 SW 137TH AVE STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864222",
            "telephone_number": "786-219-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "18812",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18812",
            "primary": false
        }
    ],
    "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 Dec 5, 2017; 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.