Individual provider Active NPI

Alan E Wolfe, MS OTR L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1790847457
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 4720 Issued in FL
Practice address
12970 SW 117TH St
Miami, FL 33186-4611
Phone
(704) 771-0051
Fax
(800) 806-9071
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 4720 FL Primary
Occupational Therapist 225X00000X 5989 NC

Addresses

Primary practice location

12970 SW 117TH St
Miami, FL 33186-4611

Mailing address

PO Box 691775
Mint Hill, NC 28227-7030
Phone (704) 771-0051

Other identifiers 1

IdentifierTypeStateIssuer
7301918MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 4720FLMDOccupational Therapist
5989NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Rehab, Inc Occupational Therapist Past Accepting new patients
Abc Pediatric Rehab Occupational Therapist Past Accepting new patients
Abc Pediatric Rehab, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790847457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691775",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277030",
            "telephone_number": "704-771-0051",
            "fax_number": "800-806-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 SW 117TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864611",
            "telephone_number": "704-771-0051",
            "fax_number": "800-806-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ALAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MS OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 4720",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301918",
            "state": "NC"
        }
    ],
    "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 Jul 9, 2007; 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.