Individual provider Active NPI

Mikerlande Moise

  • Occupational Therapy Assistant
  • Sunrise, FL
National Provider Identifier
1427635580
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA10873 Issued in FL
Practice address
5318 NW 93Rd Ave
Sunrise, FL 33351-7722
Phone
(954) 536-7394
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA10873 FL Primary

Addresses

Primary practice location

5318 NW 93Rd Ave
Sunrise, FL 33351-7722

Mailing address

13901 NE 3Rd CT
North Miami, FL 33161-2835
Phone (305) 893-2288

Other names 1

  • Mikerlande Sylvestre Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mikerlande4@gmail.com

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
OTA10873FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1427635580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 NE 3RD CT",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331612835",
            "telephone_number": "305-893-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 NW 93RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517722",
            "telephone_number": "954-536-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE",
        "first_name": "MIKERLANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA10873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mikerlande4@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5318 NW 93rd Ave",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333517722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIKERLANDE",
            "last_name": "SYLVESTRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.