Individual provider Active NPI

Nelson Navarro Jr.

  • Occupational Therapist
  • Miramar, FL
National Provider Identifier
1891145710
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17788 Issued in FL
Practice address
13651 SW 17TH CT
Miramar, FL 33027-3449
Phone
(954) 438-5580
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17788 FL Primary

Addresses

Primary practice location

13651 SW 17TH CT
Miramar, FL 33027-3449

Mailing address

3903 Northdale Blvd
Ste 111W
Tampa, FL 33624-1853
Phone (786) 507-8278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323002692 FL Practitioner - Occupational Therapist in Private Practice 6709161284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9960 Central Park Blvd N
Suite 100
Boca Raton, FL 33428-1702
Phone (561) 844-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Feb 1, 2025 Accepting new patients
Optimal Performance and Physical Therapies Kendall LLC Occupational Therapist CurrentSince Jun 27, 2016 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

9960 Central Park Blvd N
Ste 100
Boca Raton, FL 33428
Phone (561) 226-4180

9960 Central Park Blvd N
Ste 150
Boca Raton, FL 33428
Phone (561) 451-0500

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

9415 Sunset Dr
Ste 111
Miami, FL 33173
Phone (786) 507-8278

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1891145710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD",
            "address_2": "STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241853",
            "telephone_number": "786-507-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13651 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273449",
            "telephone_number": "954-438-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "NELSON",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.