Active NPI
Jacqueline L Murdocco, O.T.
- Occupational Therapist
- Miami Beach, FL
National Provider Identifier
1780866004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 4827
- Practice address
- 519 W 41St St
Miami Beach, FL 33140-3509 - Phone
- (305) 672-2992
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OT 4827 | FL | Primary |
Addresses
Primary practice location
519 W 41St St
Miami Beach, FL 33140-3509
Mailing address
519 W 41St St
Miami Beach, FL 33140-3509
Phone (305) 672-2992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z9698Z | Other | FL | MEDICARE |
| K3224 | Other | FL | MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 4827 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1780866004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 W 41ST ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403509",
"telephone_number": "305-672-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 W 41ST ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403509",
"telephone_number": "305-672-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCCO",
"first_name": "JACQUELINE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 4827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z9698Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K3224",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.