NPIMap

Individual provider Active NPI

Mario Molina Sr.

  • Occupational Therapist
  • Homestead, FL
National Provider Identifier
1588042279
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
28810 SW 154TH Ave
Homestead, FL 33033-2543
Phone
(786) 444-6003
Fax
(786) 504-2665
NPI assigned
May 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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 FL Primary

Addresses

Primary practice location

28810 SW 154TH Ave
Homestead, FL 33033-2543

Mailing address

28810 SW 154TH Ave
Homestead, FL 33033-2543
Phone (786) 444-6003

Other identifiers 1

IdentifierTypeStateIssuer
473947961OtherFL473947961

Other names 1

  • Mario Luis Molina I Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Health, Corp Current Accepting new patients
Allstar Home Health Care Inc. Current Accepting new patients
Cultivate Health, Corp Current Accepting new patients

Organizations & group practices 3

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1588042279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28810 SW 154TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332543",
            "telephone_number": "786-444-6003",
            "fax_number": "786-504-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28810 SW 154TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332543",
            "telephone_number": "786-444-6003",
            "fax_number": "786-504-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARIO",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "473947961",
            "identifier": "473947961",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "MOLINA",
            "middle_name": "LUIS",
            "suffix": "I",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.