Individual provider Active NPI

Simone J Lurch

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1881859841
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13128 Issued in FL
Practice address
1441 SW 1St Street
Miami, FL 33135-2202
Phone
(305) 541-3400
Fax
(305) 541-3344
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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 OTT13128 FL
Occupational Therapist 225X00000X OT13128 FL Primary

Addresses

Primary practice location

1441 SW 1St Street
Miami, FL 33135-2202

Mailing address

1441 SW 1St Street
Miami, FL 33135-2202
Phone (305) 541-3400

Other identifiers 2

IdentifierTypeStateIssuer
000378600MedicaidFL
OTT13128OtherFLOCCUPATIONAL LICENSE

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

State licenses

LicenseStateTypeSpecialty
OT13128FLMDOccupational Therapist
OTT13128FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1881859841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352202",
            "telephone_number": "305-541-3400",
            "fax_number": "305-541-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SW 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352202",
            "telephone_number": "305-541-3400",
            "fax_number": "305-541-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURCH",
        "first_name": "SIMONE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTT13128",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000378600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "OTT13128",
            "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 Oct 6, 2009; 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.