Individual provider Active NPI

Marcia Yamada Palomba, OTR/L

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1629360615
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 14658 Issued in FL
Practice address
14331SW 120TH Terrace
Suite 103
Miami, FL 33186-3318
Phone
(786) 212-1008
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 14658 FL
Pediatric Occupational Therapist 225XP0200X OT 14658 FL Primary

Addresses

Primary practice location

14331SW 120TH Terrace
Suite 103
Miami, FL 33186-3318

Mailing address

15824 SW 112TH Ter
Miami, FL 33196-3628
Phone (305) 606-2602

Other practice location 1

6128SW 158Pass
Miami, FL 33193
Phone (305) 926-9536

Other practice location 2

10765 SW 104th St
Miami, FL 33176-8164
Phone (786) 502-8878

Other practice location 3

9290 Hammocks Blvd
Miami, FL 33196-1508
Phone (786) 558-5694

Other practice location 4

15824 SW 112th Ter
Miami, FL 33196-3628
Phone (305) 606-2602

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 14658FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy Group Inc Occupational Therapist Past Accepting new patients
MD Therapy Solutions, LLC PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1629360615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15824 SW 112TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963628",
            "telephone_number": "305-606-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331SW 120TH TERRACE",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863318",
            "telephone_number": "786-212-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6128SW 158Pass",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33193",
            "country_code": "US",
            "telephone_number": "305-926-9536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10765 SW 104th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331768164",
            "country_code": "US",
            "telephone_number": "786-502-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9290 Hammocks Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961508",
            "country_code": "US",
            "telephone_number": "786-558-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15824 SW 112th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331963628",
            "country_code": "US",
            "telephone_number": "305-606-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMBA",
        "first_name": "MARCIA",
        "middle_name": "YAMADA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14658",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 14658",
            "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 Feb 27, 2019; 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.