Active NPI
Jonathan Burk Cunningham, OT
- Occupational Therapist
- Miami, FL
National Provider Identifier
1720139330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12483
- Practice address
- 14608 SW 143Rd Place Cir
Miami, FL 33186-5670 - Phone
- (954) 540-4601
- NPI assigned
- Jan 12, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OT12483 | FL | |
| Hand Occupational Therapist | 225XH1200X | OT12483 | FL | |
| Occupational Therapist | 225X00000X | OT12483 | FL | Primary |
Addresses
Primary practice location
14608 SW 143Rd Place Cir
Miami, FL 33186-5670
Mailing address
14608 SW 143Rd Place Cir
Miami, FL 33186-5670
Phone (954) 540-4601
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1720139330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14608 SW 143RD PLACE CIR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865670",
"telephone_number": "954-540-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14608 SW 143RD PLACE CIR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331865670",
"telephone_number": "954-540-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JONATHAN",
"middle_name": "BURK",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "OT12483",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT12483",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12483",
"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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.