Edward Malio Severhof Jr.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14195 Issued in FL

Practice address

4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902

Phone

(954) 312-3449

NPI assigned

Mar 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bi-County Speech Language Pathology, Inc.

  • Clinic/Center
  • Davie, FL
  • NPI 1447265822

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1467878199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 54TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032744",
            "telephone_number": "419-574-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "954-312-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERHOF",
        "first_name": "EDWARD",
        "middle_name": "MALIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467878199",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bicounty",
            "affiliation": "Y",
            "affiliationName": "BiCounty SLP, Inc.",
            "address_1": "4301 S Flamingo Rd Ste 101",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333301902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maksim Seredov, DPT
• Michelle Sereno, BCBA
• Darimar Serrano Adorno
• Crystal Aurora Sertzen
• Venisha Servalis
• Ahmed Seweid, PHARM D
• Sfmsc.Com, Inc.
• Nirav Ramesh Shah, MD
• Rishi Shah, O.D.
• Tanvi J Shah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.