Lisandra Perez, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 12116 Issued in FL

Practice address

12741 SW 17TH CT
Miramar, FL 33027-2500

Phone

(954) 447-8844

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisandra Perez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1700293032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 NW 73RD AVE APT 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156217",
            "telephone_number": "786-239-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272500",
            "telephone_number": "954-447-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISANDRA",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 12116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISANDRA",
            "last_name": "PEREZ",
            "credential": "OTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kamila Melissa Perez
• Katherine Perez
• Kyana Perez, DOULA
• Leslie Perez
• Liliet Perez
• Luis Francisco Perez, RN
• Maria Esther Perez
• Mary Karla Perez
• Mia Isabella Perez
• Odalys M. Perez, PHARMD

• Occupational Therapy Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.