Active NPI
Marcia Yamada Palomba, OTR/L
- Pediatric Occupational Therapist
- Miami, FL
National Provider Identifier
1629360615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 14658
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 14658 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Therapy Group Inc | Occupational Therapist | Past | Accepting new patients |
| MD Therapy Solutions, LLC | Past | 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.
-
- Clinic/Center
- Miami, FL
- NPI 1780245316
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.