Individual provider Active NPI

Vitor Nunes

  • Occupational Therapy Assistant
  • Doral, FL
National Provider Identifier
1669107496
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18895 Issued in FL
Practice address
10200 NW 25TH St a-108, Doral
Doral, FL 33172
Phone
(786) 717-5649
NPI assigned
Jul 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18895 FL Primary

Addresses

Primary practice location

10200 NW 25TH St a-108, Doral
Doral, FL 33172

Mailing address

4816 N State Road 7 Apt 104
Coconut Creek, FL 33073-3350

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

LicenseStateTypeSpecialty
18895FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Speech Therapy CurrentSince Jul 24, 2022 Accepting new patients
Exceptional Speech Therapy CurrentSince Jul 24, 2022 Accepting new patients

Locations

10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649

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": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1669107496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 N STATE ROAD 7 APT 104",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST A-108, DORAL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "786-717-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "VITOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "18895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.