Individual provider Active NPI

Jessica Vazquez, OTD/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1609547017
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18002 Issued in FL
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

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20250505001765 WI Practitioner - Occupational Therapist in Private Practice 5991183204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenderness Therapy Center LLC Occupational Therapist CurrentSince Mar 4, 2025 Accepting new patients
Tenderness Medical Center LLC Current Accepting new patients
Tenderness Home Health LLC PastSince Apr 24, 2023 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.

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.

Verify at the official NPI Registry.