Individual provider Active NPI

Liset Diaz Yanes

  • Occupational Therapist
  • Coral Gables, FL
National Provider Identifier
1487301313
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22885 Issued in FL
Practice address
1041 Catalonia Ave
Coral Gables, FL 33134-6302
Phone
(305) 290-0622
Fax
(866) 802-2363
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22885 FL Primary

Addresses

Primary practice location

1041 Catalonia Ave
Coral Gables, FL 33134-6302

Mailing address

17424 NW 63Rd CT
Hialeah, FL 33015-4485
Phone (786) 587-3684

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
22885FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite LD Therapy Services Inc CurrentSince Dec 24, 2023 Accepting new patients
Akl Active Inc Occupational Therapist PastSince Mar 13, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1487301313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 NW 63RD CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154485",
            "telephone_number": "786-587-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 CATALONIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346302",
            "telephone_number": "305-290-0622",
            "fax_number": "866-802-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ YANES",
        "first_name": "LISET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "22885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.