Individual provider Active NPI

Jyoti Patel, MOT OTRL

  • Pediatric Occupational Therapist
  • Weston, FL
National Provider Identifier
1720174295
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT9969 Issued in FL
Practice address
1290 Weston Rd
Suite 200
Weston, FL 33326-1976
Phone
(954) 683-6896
Fax
(954) 349-2903
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT9969 FL Primary

Addresses

Primary practice location

1290 Weston Rd
Suite 200
Weston, FL 33326-1976

Mailing address

1290 Weston Rd
Suite 200
Weston, FL 33326-1976
Phone (954) 683-6896

Other identifiers 2

IdentifierTypeStateIssuer
886538800MedicaidFL
Z9608OtherFLBCBS OF FLORIDA

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1720174295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD",
            "address_2": "SUITE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261976",
            "telephone_number": "954-683-6896",
            "fax_number": "954-349-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD",
            "address_2": "SUITE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261976",
            "telephone_number": "954-683-6896",
            "fax_number": "954-349-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JYOTI",
        "name_prefix": "Ms.",
        "credential": "MOT OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT9969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886538800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Z9608",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.