Active NPI
Brittany Ashley Sandoval, OTR/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1487278198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT20790
- Practice address
- 10765 SW 104TH St
Miami, FL 33176-8164 - Phone
- (305) 979-9988
- NPI assigned
- May 29, 2020
- Last updated
- May 29, 2020
- 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 Therapist | 225X00000X | OT20790 | FL | Primary |
Addresses
Primary practice location
10765 SW 104TH St
Miami, FL 33176-8164
Mailing address
5120 SW 98TH Avenue Rd
Miami, FL 33165-7255
Phone (786) 338-8009
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Rehabilitation, Inc | Occupational Therapist | Past | Accepting new patients |
| Nova Rehabilitation Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Miami, FL
- NPI 1366401937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1487278198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 SW 98TH AVENUE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657255",
"telephone_number": "786-338-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10765 SW 104TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768164",
"telephone_number": "305-979-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "BRITTANY",
"middle_name": "ASHLEY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT20790",
"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 May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.