Individual provider Active NPI

Doris A Trujillo, OTR

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1891918280
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6401 Issued in FL
Practice address
5931 NW 173Rd Dr
Unit 10
Hialeah, FL 33015-5106
Phone
(305) 826-7884
Fax
(305) 826-1545
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 OT6401 FL Primary

Addresses

Primary practice location

5931 NW 173Rd Dr
Unit 10
Hialeah, FL 33015-5106

Mailing address

720 SW 71St Ter
Pembroke Pines, FL 33023-1056
Phone (786) 355-6189

Other identifiers 1

IdentifierTypeStateIssuer
889360800MedicaidFL

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
OT6401FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Dream Inc. Occupational Therapist Current Accepting new patients
Dreaming and Achieving Medical Daycare, Inc. Current Accepting new patients

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891918280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW 71ST TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231056",
            "telephone_number": "786-355-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 NW 173RD DR",
            "address_2": "UNIT 10",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155106",
            "telephone_number": "305-826-7884",
            "fax_number": "305-826-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "DORIS",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889360800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.