NPIMap

Organization Active NPI

MD Therapy Center

  • Pediatric Occupational Therapist
  • Miami Lakes, FL
National Provider Identifier
1801256102
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
16398 Issued in FL
Legal business name
MD THERAPY CENTER
Practice address
16239 NW 84TH Ave
Miami Lakes, FL 33016-6131
Phone
(917) 664-2863
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Miss Maury Diaz, MA,OTR/LNPI 1558514034
Title
Owner/Therapist
Phone
(917) 664-2863

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X 16398 FL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 16398 FL Primary

Addresses

Primary practice location

16239 NW 84TH Ave
Miami Lakes, FL 33016-6131

Mailing address

16239 NW 84TH Ave
Miami Lakes, FL 33016-6131
Phone (917) 664-2863

Other identifiers 1

IdentifierTypeStateIssuer
011953900MedicaidFL

Other names 1

  • MDTC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1801256102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16239 NW 84TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166131",
            "telephone_number": "917-664-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16239 NW 84TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166131",
            "telephone_number": "917-664-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MAURY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "917-664-2863",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "16398",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "16398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011953900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2016; 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.