NPIMap

Organization Active NPI

Occupational Therapy Recovery Center, LLC.

  • Pediatric Occupational Therapist
  • Pembroke Pines, FL
National Provider Identifier
1639724750
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
OCCUPATIONAL THERAPY RECOVERY CENTER, LLC.
Practice address
1520 NW 140TH MNR
Pembroke Pines, FL 33028-3011
Phone
(954) 830-6838
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Ms. Audrey Y Moraly, COTANPI 1538700380
Title
Occupational Therapist Assistant
Phone
(954) 830-6838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1520 NW 140TH MNR
Pembroke Pines, FL 33028-3011

Mailing address

1520 NW 140TH MNR
Pembroke Pines, FL 33028-3011
Phone (954) 830-6838

Other practice location 1

1520 NW 140th Mnr
Pembroke Pines, FL 33028-3011
Phone (954) 830-6838

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1639724750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 NW 140TH MNR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283011",
            "telephone_number": "954-830-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NW 140TH MNR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283011",
            "telephone_number": "954-830-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 NW 140th Mnr",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330283011",
            "country_code": "US",
            "telephone_number": "954-830-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY RECOVERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "MORALY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "954-830-6838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.