Active NPI
Janellis Socarras
- Occupational Therapist
- Fort Lauderdale, FL
National Provider Identifier
1629693205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT20981
- Practice address
- 1821 SE 4TH Ave
Fort Lauderdale, FL 33316-2807 - Phone
- (954) 763-5444
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- No
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 | OT20981 | FL | Primary |
Addresses
Primary practice location
1821 SE 4TH Ave
Fort Lauderdale, FL 33316-2807
Mailing address
884 W 70TH PL
Hialeah, FL 33014-5220
Phone (305) 331-9707
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 |
|---|---|---|---|
| OT20981 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1629693205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 W 70TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330145220",
"telephone_number": "305-331-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 SE 4TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162807",
"telephone_number": "954-763-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCARRAS",
"first_name": "JANELLIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT20981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.