Organization Active NPI

Creative Minds Therapy

  • Occupational Therapist
  • Cutler Bay, FL
National Provider Identifier
1649661117
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 15768 Issued in FL
Legal business name
CREATIVE MINDS THERAPY
Practice address
19663 SW 82ND CT
Cutler Bay, FL 33189-2040
Phone
(786) 554-8920
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Alicia Delgado, MS OTR/L
Title
Occupational Therapist/Owner
Phone
(786) 554-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 15768 FL Primary

Addresses

Primary practice location

19663 SW 82ND CT
Cutler Bay, FL 33189-2040

Mailing address

19663 SW 82ND CT
Cutler Bay, FL 33189-2040

Other identifiers 1

IdentifierTypeStateIssuer
009272200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1649661117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19663 SW 82ND CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19663 SW 82ND CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892040",
            "telephone_number": "786-554-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MINDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "786-554-8920",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 15768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009272200",
            "state": "FL"
        }
    ],
    "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 Feb 5, 2015; 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.