Active NPI
Shanika David
- Occupational Therapy Assistant
- Miami Lakes, FL
National Provider Identifier
1912634262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18706
- Practice address
- 14411 Commerce Way
Miami Lakes, FL 33016-1596 - Phone
- (305) 625-8844
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18706 | FL | Primary |
Addresses
Primary practice location
14411 Commerce Way
Miami Lakes, FL 33016-1596
Mailing address
1101 W Dania Beach Blvd Apt 208
Dania Beach, FL 33004-3392
Phone (786) 506-1520
Other practice location 1
5547 W Oakland Park Blvd
Lauderhill, FL 33313-1411
Phone (786) 334-3125
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Clinicsource | ||
| SOAP URL | Clinicsource |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18706 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1912634262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W DANIA BEACH BLVD APT 208",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043392",
"telephone_number": "786-506-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14411 COMMERCE WAY",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161596",
"telephone_number": "305-625-8844"
}
],
"practiceLocations": [
{
"address_1": "5547 W Oakland Park Blvd",
"address_purpose": "LOCATION",
"city": "Lauderhill",
"state": "FL",
"postal_code": "333131411",
"country_code": "US",
"telephone_number": "786-334-3125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "SHANIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "18706",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Clinicsource",
"affiliation": "N",
"address_1": "14411 Commerce Way",
"city": "Miami Lakes",
"state": "FL",
"country_code": "US",
"postal_code": "330161596",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Clinicsource",
"affiliation": "N",
"address_1": "5547 W Oakland Park Blvd",
"city": "Lauderhill",
"state": "FL",
"country_code": "US",
"postal_code": "333131411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.