Active NPI
Elias Amador Jr., COTA/L
- Occupational Therapy Assistant
- Miami, FL
National Provider Identifier
1679048714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16782
- Practice address
- 9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347 - Phone
- (786) 558-5694
- NPI assigned
- Oct 4, 2018
- Sex
- Male
- 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 | 16782 | FL | Primary |
Addresses
Primary practice location
9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347
Mailing address
PO Box 452301
Miami, FL 33245-2301
Phone (424) 283-0521
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 |
|---|---|---|---|
| 16782 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1679048714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452301",
"city": "MIAMI",
"state": "FL",
"postal_code": "332452301",
"telephone_number": "424-283-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 HAMMOCKS BLVD STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961347",
"telephone_number": "786-558-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "ELIAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "16782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.