Active NPI
Sandra Bustos, OTA
- Occupational Therapy Assistant
- Miami Lakes, FL
National Provider Identifier
1457657702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10504
- Practice address
- 5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400 - Phone
- (305) 362-3300
- Fax
- (305) 362-0202
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA10504 | FL | Primary |
Addresses
Primary practice location
5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400
Mailing address
5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400
Phone (305) 362-3300
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA10504 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1457657702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST",
"address_2": "SUITE 108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142400",
"telephone_number": "305-362-3300",
"fax_number": "305-362-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST",
"address_2": "SUITE 108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142400",
"telephone_number": "305-362-3300",
"fax_number": "305-362-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTOS",
"first_name": "SANDRA",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.