Active NPI
Jose Millares Jr., OT
- Occupational Therapist
- Aventura, FL
National Provider Identifier
1710230644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14902
- Practice address
- 21251 E Dixie Hwy
Aventura, FL 33180-1218 - Phone
- (954) 445-2344
- NPI assigned
- Oct 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OT14902 | FL | Primary |
Addresses
Primary practice location
21251 E Dixie Hwy
Aventura, FL 33180-1218
Mailing address
4367 SW 130TH Ave
Davie, FL 33330-4730
Phone (954) 445-2344
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 |
|---|---|---|---|
| OT14902 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1710230644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4367 SW 130TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333304730",
"telephone_number": "954-445-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21251 E DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801218",
"telephone_number": "954-445-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARES",
"first_name": "JOSE",
"name_suffix": "Jr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2021-01-05",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.