Individual provider Active NPI

Marilyn Eustache

  • Occupational Therapist
  • Cutler Bay, FL
National Provider Identifier
1639557960
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17057 Issued in FL
Practice address
18951 SW 106TH Ave
Cutler Bay, FL 33157-7668
Phone
(305) 233-4448
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17057 FL Primary

Addresses

Primary practice location

18951 SW 106TH Ave
Cutler Bay, FL 33157-7668

Mailing address

17781 SW 112TH PL
Miami, FL 33157-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223000239 FL Practitioner - Occupational Therapist in Private Practice 9335676816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sos Physio LLCGroup PAC ID 0648579334, 7 clinicians

Practice addresses (Care Compare)

3575 NE 207TH St
Suite B17
Aventura, FL 33180-3705
Phone (305) 306-8376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Physio LLC CurrentSince Jun 15, 2025 Accepting new patients
Avi PT Limited Liability Company CurrentSince Nov 10, 2024 Accepting new patients

Locations

3575 NE 207th St
Ste B17
Miami, FL 33180
Phone (305) 306-8376

2045 Biscayne Blvd
Miami, FL 33137
Phone (786) 271-7081

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1639557960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17781 SW 112TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 SW 106TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577668",
            "telephone_number": "305-233-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTACHE",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.