Active NPI
Renee Marie Graziadei
- Occupational Therapist
- Miami Lakes, FL
National Provider Identifier
1750110532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT6089
- Practice address
- 5190 NW 167TH St
Miami Lakes, FL 33014-6328 - Phone
- (305) 756-9947
- Fax
- (305) 756-9948
- NPI assigned
- Jul 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT6089 | FL | Primary |
Addresses
Primary practice location
5190 NW 167TH St
Miami Lakes, FL 33014-6328
Mailing address
2750 SW 109TH Ter
Davie, FL 33328-1039
Phone (954) 918-4059
Other names 1
- Renee Graziadei
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 |
|---|---|---|---|
| OT6089 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1750110532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 SW 109TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281039",
"telephone_number": "954-918-4059",
"fax_number": "305-756-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 NW 167TH ST",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146328",
"telephone_number": "305-756-9947",
"fax_number": "305-756-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIADEI",
"first_name": "RENEE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT6089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "GRAZIADEI",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.