Vanderbilt Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

VANDERBILT THERAPY, LLC

Practice address

637 E Mowry CT
Homestead, FL 33030-8207

Phone

(305) 748-7863

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Kristina M VanderbiltNPI 1114585791

Title

MGR

Phone

(305) 748-7863

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Marie Vanderbilt, OTR/L

  • Occupational Therapist
  • Doral, FL
  • NPI 1114585791
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1609458744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E MOWRY CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330308207",
            "telephone_number": "305-748-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E MOWRY CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330308207",
            "telephone_number": "305-748-7863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 E Mowry Ct",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330308207",
            "country_code": "US",
            "telephone_number": "305-748-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANDERBILT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "VANDERBILT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-748-7863"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analay Valles Escalante
• Maria Eugenia Vallina Bequer
• Zaida Valoy
• Jose Luis Valverde, BS
• Daniela Paola Van Brakel, APRN
• Ryan Vandusen, RPT
• Yanicia Vanegas
• Vanguard Health TX LLC
• Vanguard Healthcare Center Corp
• Arcides Alberto Varela Banos

• Occupational Therapist in Homestead, FL
• Providers in Homestead, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.