Stephanie Michelle Bordonaba, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT25411 Issued in FL

Practice address

13335 SW 124TH St
Miami, FL 33186-7510

Phone

(786) 665-6765

NPI assigned

Jul 22, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolanos Associates, LLC.Group PAC ID 0840327342, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bolanos Associates, LLC.

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1427288851

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Kids Therapy Connection

  • Speech-Language Pathologist
  • South Miami, FL
  • NPI 1275838948
  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1437987476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16572 SW 60TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935725",
            "telephone_number": "786-397-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867510",
            "telephone_number": "786-665-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDONABA",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iromi Bordas
• Nichole Patricia Bordegaray, M.D.
• George Humberto Bordenave, MD
• Ashley Bordon
• Sergio Bordon
• Paola Andrea Bordoni, D.O.
• Angela Evette Boreland, RN
• Perla Borelli, PA-C
• Shedrick John Boren, LCSW
• Michal Borenstein

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.