Individual provider Active NPI

Karen Maria Prado Rubi, COTA

  • Occupational Therapy Assistant
  • Miami, FL
National Provider Identifier
1467099697
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA17564 Issued in FL
Practice address
2500 SW 107TH Ave Ste 39
Miami, FL 33165-2492
Phone
(786) 631-3129
Fax
(786) 703-5901
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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 OTA17564 FL Primary

Addresses

Primary practice location

2500 SW 107TH Ave Ste 39
Miami, FL 33165-2492

Mailing address

3992 SW 136TH Ave
Miami, FL 33175-3231
Phone (305) 458-9839

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
OTA17564FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1467099697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3992 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753231",
            "telephone_number": "305-458-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE STE 39",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652492",
            "telephone_number": "786-631-3129",
            "fax_number": "786-703-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO RUBI",
        "first_name": "KAREN",
        "middle_name": "MARIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17564",
            "primary": true
        }
    ],
    "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 6, 2019; 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.