Brooke Chaviano, OTR/L
Individual provider Active NPI Occupational Therapist · Miami, FL
NPI 1437796331 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1437796331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT20451 (FL)
- Practice address
- 3400 Coral Way Ste 202
Miami, FL 33145-3053 - Phone
- (305) 856-1999
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT20451 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Therapy Center, Inc. | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT20451 | FL | Yes |
Addresses
Primary practice location
3400 Coral Way Ste 202
Miami, FL 33145-3053
Mailing address
3400 Coral Way Ste 202
Miami, FL 33145-3053
Phone (954) 290-8715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105060400 | Medicaid | FL |
Other providers in Miami, FL
- Gabriela Chaviano Fajardo
- Ronney Chaviano Malboa
- Roxana Chaviano Malboa
- Yahumira Chaviano Perez
- Nalia Chaviano Pruzaesky
- Emely Chaviano
- Jose Chaviano
- Laura Chaviano
- Leidy Chaviano
- Lianna Chaviano
All providers in Miami, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.