NPIMap

Organization Active NPI

Viva Therapy Services

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1821476953
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT5689 Issued in FL
Legal business name
VIVA THERAPY SERVICES
Practice address
454 NW 22ND Ave Ste 108
Miami, FL 33125-3355
Phone
(305) 890-9691
Fax
(305) 647-6127
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Virginia Pacheco, OTR/LNPI 1275833964
Title
Owner
Phone
(305) 890-9691

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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT5689 FL Primary

Addresses

Primary practice location

454 NW 22ND Ave Ste 108
Miami, FL 33125-3355

Mailing address

60 NW 37TH Ave Apt 501
Miami, FL 33125-4834
Phone (305) 890-9691

Other identifiers 1

IdentifierTypeStateIssuer
015358300MedicaidFL

National Provider Directory

National Provider Directory

Locations

454 NW 22nd Ave
Ste 108
Miami, FL 33125
Phone (305) 890-9691

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1821476953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NW 37TH AVE APT 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254834",
            "telephone_number": "305-890-9691",
            "fax_number": "305-647-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253355",
            "telephone_number": "305-890-9691",
            "fax_number": "305-647-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-890-9691",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT5689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015358300",
            "state": "FL"
        }
    ],
    "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 Aug 19, 2020; 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.