Active NPI
Rinata Zhivov
- Occupational Therapist
- Lauderhill, FL
National Provider Identifier
1700459765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22083
- Practice address
- 7430 W Commercial Blvd
Lauderhill, FL 33319-2130 - Phone
- (954) 925-3844
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 22083 | FL | |
| Occupational Therapist | 225X00000X | OT22083 | FL | Primary |
Addresses
Primary practice location
7430 W Commercial Blvd
Lauderhill, FL 33319-2130
Mailing address
1120 Papaya St
Hollywood, FL 33019-3270
Phone (818) 572-3218
Other practice location 1
8276 Griffin Rd
Davie, FL 33328-3715
Phone (954) 306-2807
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 |
|---|---|---|---|
| OT22083 | FL | MD | Occupational Therapist |
| 22083 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Aboard Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Davie, FL
- NPI 1760827034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1700459765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 PAPAYA ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330193270",
"telephone_number": "818-572-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 W COMMERCIAL BLVD",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333192130",
"telephone_number": "954-925-3844"
}
],
"practiceLocations": [
{
"address_1": "8276 Griffin Rd",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333283715",
"country_code": "US",
"telephone_number": "954-306-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHIVOV",
"first_name": "RINATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "22083",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT22083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.