Organization Active NPI

Gyasi Azpeitia, Otr/L, P.a.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1922556307
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GYASI AZPEITIA, OTR/L, P.A.
Practice address
9495 SW 72ND St # B120
Miami, FL 33173-3253
Phone
(786) 332-2672
Fax
(786) 369-7054
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Ms. Gyasi Azpeitia, OTR/LNPI 1144332420
Title
Owner
Phone
(786) 332-2672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OT11017 FL
Clinic/Center 261Q00000X FL Primary
Multi-Specialty Clinic/Center 261QM1300X OT11017 FL
Rehabilitation Clinic/Center 261QR0400X OT11017 FL

Addresses

Primary practice location

9495 SW 72ND St # B120
Miami, FL 33173-3253

Mailing address

10610 SW 148TH Avenue Dr
Miami, FL 33196-2453
Phone (786) 346-6841

Other practice location 1

8725 NW 18th Ter Ste 101
Doral, FL 33172-2629
Phone (786) 761-1107

Other identifiers 2

IdentifierTypeStateIssuer
025097100MedicaidFL
1144332420OtherFLNPPES

Other names 1

  • Liv Active Therapy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213001450 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628351954 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL; Doral, FL

National Provider Directory

National Provider Directory

Locations

8725 NW 18th Ter
Ste 101
Doral, FL 33172
Phone (786) 332-2672

9495 SW 72nd St
Ste B120
Miami, FL 33173
Phone (786) 332-2672

9495 SW 72nd St
#B120
Miami, FL 33173
Phone (786) 332-2672

9380 Sunset Dr
Ste B180
Miami, FL 33173
Phone (305) 235-8105

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1922556307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 SW 148TH AVENUE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962453",
            "telephone_number": "786-346-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND ST # B120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733253",
            "telephone_number": "786-332-2672",
            "fax_number": "786-369-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 NW 18th Ter Ste 101",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331722629",
            "country_code": "US",
            "telephone_number": "786-761-1107",
            "fax_number": "786-369-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GYASI AZPEITIA, OTR/L, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "AZPEITIA",
        "authorized_official_first_name": "GYASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-332-2672",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT11017",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "OT11017",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "OT11017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025097100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1144332420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liv Active Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liv Active Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2023; 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.