Giselle Alejandra Thevenin, COTA/L

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

10684 Issued in FL

Practice address

2040 NE 163Rd St
Suite 306
North Miami Beach, FL 33162-4951

Phone

(786) 306-9562

Fax

(954) 966-6412

NPI assigned

Jun 6, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Inc

  • Occupational Therapist
  • Hollywood, FL
  • NPI 1598075533
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1720247463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19499 NE 10TH AVE",
            "address_2": "APT 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795732",
            "telephone_number": "786-262-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 NE 163RD ST",
            "address_2": "SUITE 306",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624951",
            "telephone_number": "786-306-9562",
            "fax_number": "954-966-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEVENIN",
        "first_name": "GISELLE",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "10684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Pawsitivity Network, LLC
• The Physicians Recovery Group LL
• Shirley Theleau, FNP-BC
• Therapeutically Speaking
• Theraspeak Inc.
• Chardyne D Thomany
• Thrive Behavioral Therapy LLC
• Thrive Health Group Inc
• Adriana D Tilley, O.T
• Winston Tinubu

• Community Health Worker in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.