Active NPI
Da Pediatric Rehabilitation
- Home Health Agency
- Pembroke Pines, FL
National Provider Identifier
1801164967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- OT12685
- Legal business name
- DA PEDIATRIC REHABILITATION
- Practice address
- 13296 NW 18TH St
Pembroke Pines, FL 33028-2502 - Phone
- (954) 599-9130
- NPI assigned
- Dec 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Diana Y Alvarez, MOTR
- Title
- Owner
- Phone
- (954) 599-9130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OT12685 | FL | Primary |
Addresses
Primary practice location
13296 NW 18TH St
Pembroke Pines, FL 33028-2502
Mailing address
13296 NW 18TH St
Pembroke Pines, FL 33028-2502
Phone (954) 599-9130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004304000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Pembroke Pines, FL
- NPI 1235308222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1801164967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13296 NW 18TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282502",
"telephone_number": "954-599-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13296 NW 18TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282502",
"telephone_number": "954-599-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DA PEDIATRIC REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-599-9130",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MOTR"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "OT12685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004304000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.