Individual provider Active NPI

Wallis Adler Chefitz, OTR

  • Contractor
  • Pinecrest, FL
National Provider Identifier
1932273836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
OT 462 Issued in FL
Practice address
9315 SW 61St CT
Pinecrest, FL 33156-1951
Phone
(305) 665-8586
Fax
(305) 665-8586
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X OT 462 FL Primary

Addresses

Primary practice location

9315 SW 61St CT
Pinecrest, FL 33156-1951

Mailing address

9315 SW 61St CT
Pinecrest, FL 33156-1951
Phone (305) 665-8586

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 462FLMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wallis a. Chefitz Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932273836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 SW 61ST CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331561951",
            "telephone_number": "305-665-8586",
            "fax_number": "305-665-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 SW 61ST CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331561951",
            "telephone_number": "305-665-8586",
            "fax_number": "305-665-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEFITZ",
        "first_name": "WALLIS",
        "middle_name": "ADLER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "OT 462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.