Wallis Adler Chefitz, OTR
Individual provider Active NPI Contractor · Pinecrest, FL
NPI 1932273836 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932273836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- OT 462 (FL)
- Practice address
- 9315 SW 61St CT
Pinecrest, FL 33156-1951 - Phone
- (305) 665-8586
- Fax
- (305) 665-8586
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 462 | FL | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallis a. Chefitz | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OT 462 | FL | Yes |
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
Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.