Individual provider Active NPI

Deborah Rutigliano, OTR/L

  • Occupational Therapist
  • Miami Lakes, FL
National Provider Identifier
1568939890
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19512 Issued in FL
Practice address
5190 NW 167TH St Ste 117
Miami Lakes, FL 33014-6329
Phone
(305) 517-3047
Fax
(305) 517-3523
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 OT19512 FL Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 117
Miami Lakes, FL 33014-6329

Mailing address

335 75TH St Apt 7
Miami Beach, FL 33141-2370
Phone (956) 310-8789

Other identifiers 1

IdentifierTypeStateIssuer
OT19512OtherFLFLORIDA HEALTH LICENSE

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
OT19512FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smartherapy Past Accepting new patients

Organizations & group practices 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1568939890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 75TH ST APT 7",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412370",
            "telephone_number": "956-310-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 117",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "305-517-3047",
            "fax_number": "305-517-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTIGLIANO",
        "first_name": "DEBORAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTH LICENSE",
            "identifier": "OT19512",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.