Individual provider Active NPI

Umer Ali Siddiqui

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1467790246
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
14331SW 120St Street
Miami, FL 33186
Phone
(786) 212-1008
NPI assigned
Jan 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

14331SW 120St Street
Miami, FL 33186

Mailing address

13234 NW 8TH Ter
Miami, FL 33182-2315

Other practice location 1

10765 SW 104th St
Miami, FL 33176-8164
Phone (786) 502-8878

Other practice location 2

13155 SW 134th St
Miami, FL 33186-4486
Phone (786) 732-0384

Other practice location 3

9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347
Phone (786) 558-5694

Other practice location 4

6128 SW 158th Pass
Miami, FL 33193-3696
Phone (305) 926-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614004023 FL Practitioner - Occupational Therapist in Private Practice 3173981669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Testing Centers of America IncGroup PAC ID 3870488810, 4 clinicians

Practice addresses (Care Compare)

10000 Stirling Rd
Hollywood, FL 33024-8067
Phone (954) 748-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Testing Centers of America Inc. CurrentSince May 1, 2023 Accepting new patients
South Florida Rehab Solutions LLC CurrentSince Jul 6, 2025 Accepting new patients
MD Therapy Solutions, LLC PastSince Jun 14, 2020 Accepting new patients

Locations

10000 Stirling Rd
Ste 1
Hollywood, FL 33024
Phone (954) 748-7474

10000 Stirling Rd
Ste 4B
Hollywood, FL 33024
Phone (305) 613-4141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1467790246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13234 NW 8TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331SW 120ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "786-212-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10765 SW 104th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331768164",
            "country_code": "US",
            "telephone_number": "786-502-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13155 SW 134th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864486",
            "country_code": "US",
            "telephone_number": "786-732-0384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9290 Hammocks Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961347",
            "country_code": "US",
            "telephone_number": "786-558-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6128 SW 158th Pass",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331933696",
            "country_code": "US",
            "telephone_number": "305-926-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "UMER",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "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 Mar 5, 2019; 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.