Individual provider Active NPI

Georgia De Las Pozas, O.T.R.

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1578657243
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 8736 Issued in FL
Practice address
13441 SW 62ND St Apt 4
Miami, FL 33183-5134
Phone
(305) 798-3498
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 OT 8736 FL Primary

Addresses

Primary practice location

13441 SW 62ND St Apt 4
Miami, FL 33183-5134

Mailing address

13441 SW 62ND St Apt 4
Miami, FL 33183-5134
Phone (305) 798-3498

Other identifiers 1

IdentifierTypeStateIssuer
004793200MedicaidFL

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
OT 8736FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mytherapy, Inc. 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1578657243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13441 SW 62ND ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835134",
            "telephone_number": "305-798-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13441 SW 62ND ST APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835134",
            "telephone_number": "305-798-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAS POZAS",
        "first_name": "GEORGIA",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 8736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004793200",
            "state": "FL"
        }
    ],
    "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 Jun 26, 2012; 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.