Individual provider Active NPI

Izasku Shotts

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1902073133
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13194 Issued in FL
Practice address
3412 W 84TH St
Hialeah, FL 33018-4918
Phone
(305) 821-8889
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 OT13194 FL Primary

Addresses

Primary practice location

3412 W 84TH St
Hialeah, FL 33018-4918

Mailing address

11983 SW 15TH St
Pembroke Pines, FL 33025-5785
Phone (954) 534-0866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514002421 FL Practitioner - Occupational Therapist in Private Practice 8628291804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT13194FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solution Group LLC CurrentSince Jul 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1902073133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 SW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255785",
            "telephone_number": "954-534-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 W 84TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184918",
            "telephone_number": "305-821-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTTS",
        "first_name": "IZASKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13194",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.