Individual provider Active NPI

Melissa Botteri

  • Occupational Therapist
  • Miami Lakes, FL
National Provider Identifier
1699097543
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 13718 Issued in FL
Practice address
5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400
Phone
(305) 362-3300
Fax
(305) 362-0202
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 13718 FL Primary

Addresses

Primary practice location

5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400

Mailing address

5979 NW 151St St
Suite 108
Miami Lakes, FL 33014-2400
Phone (305) 362-3300

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
OT 13718FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumaq Therapy Inc Occupational Therapist Current Accepting new patients
Mystep Therapy Center Inc Current Accepting new patients

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1699097543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST",
            "address_2": "SUITE 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142400",
            "telephone_number": "305-362-3300",
            "fax_number": "305-362-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST",
            "address_2": "SUITE 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142400",
            "telephone_number": "305-362-3300",
            "fax_number": "305-362-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTERI",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 13718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.