Active NPI
Jessica Vazquez, OTD/L
- Occupational Therapist
- Miami, FL
National Provider Identifier
1609547017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18002
- Practice address
- 6521 SW 25TH Ter
Miami, FL 33155-2946 - Phone
- (305) 335-8288
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18002 | FL | Primary |
Addresses
Primary practice location
6521 SW 25TH Ter
Miami, FL 33155-2946
Mailing address
6521 SW 25TH Ter
Miami, FL 33155-2946
Phone (305) 335-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenderness Therapy Center LLC | Occupational Therapist | Current | Accepting new patients |
| Tenderness Medical Center LLC | Current | Accepting new patients | |
| Tenderness Home Health LLC | Past | Accepting new patients |
Locations
823 S Layton Blvd
Milwaukee, WI 53215
Phone (414) 485-7411
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.
-
- Occupational Therapist
- Milwaukee, WI
- NPI 1780482992
-
- In Home Supportive Care Agency
- Milwaukee, WI
- NPI 1841981297
-
- Home Health Agency
- Milwaukee, WI
- NPI 1265034300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1609547017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 SW 25TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552946",
"telephone_number": "305-335-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 SW 25TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331552946",
"telephone_number": "305-335-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "JESSICA",
"credential": "OTD/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "18002",
"primary": true
}
],
"identifiers": [],
"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 Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.