Active NPI
Keniesha Ali
- Occupational Therapy Assistant
- Sunrise, FL
National Provider Identifier
1659623874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 12500
- Practice address
- 10825 NW 29TH MNR Apt 4
Sunrise, FL 33322-1023 - Phone
- (786) 704-5898
- NPI assigned
- Oct 11, 2012
- 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 Therapy Assistant | 224Z00000X | 12500 | FL | Primary |
Addresses
Primary practice location
10825 NW 29TH MNR Apt 4
Sunrise, FL 33322-1023
Mailing address
10825 NW 29TH MNR Apt 4
Sunrise, FL 33322
Phone (786) 704-5898
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 |
|---|---|---|---|
| 12500 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1659623874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10825 NW 29TH MNR APT 4",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33322",
"telephone_number": "786-704-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 NW 29TH MNR APT 4",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333221023",
"telephone_number": "786-704-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "KENIESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "12500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.