Jessyka N Gutierrez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20730 Issued in FL

Practice address

9415 Sunset Dr Ste 111
Miami, FL 33173-5492

Phone

(786) 507-8278

NPI assigned

Feb 25, 2020

Last updated

Mar 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Performance and Physical Therapies Kendall LLC

  dba Kendall Hand and Physical Therapy

  • Physical Therapist
  • Miami, FL
  • NPI 1922350289

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1922632348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 SUNSET DR STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 SUNSET DR STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735492",
            "telephone_number": "786-507-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JESSYKA",
        "middle_name": "N",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Jose Gutierrez, APRN
• Jany Gutierrez
• Jenetsy Amaris Gutierrez
• Jennifer Rose Gutierrez, APRN
• Jessica Milagros Gutierrez
• Johanna Gutierrez
• Jorge Omar Gutierrez
• Jose Antonio Gutierrez, PHARMD
• Juan M. Gutierrez, M.D.
• Juana Gutierrez

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; 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.