Individual provider Active NPI

Richard J Iser, OT

  • Occupational Therapist
  • Pembroke Pines, FL
National Provider Identifier
1942730569
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12966 Issued in FL
Practice address
13460 SW 10TH Street
Suite 102
Pembroke Pines, FL 33027-1833
Phone
(305) 766-8545
Fax
(954) 544-5445
NPI assigned
Jun 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12966 FL Primary

Addresses

Primary practice location

13460 SW 10TH Street
Suite 102
Pembroke Pines, FL 33027-1833

Mailing address

13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833
Phone (305) 766-8545

Other identifiers 1

IdentifierTypeStateIssuer
OT12966OtherFLOT LICENSE

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
OT12966FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-Fitness Centers, Inc Current 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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942730569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 SW 10TH ST STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "305-766-8545",
            "fax_number": "954-544-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 SW 10TH STREET",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271833",
            "telephone_number": "305-766-8545",
            "fax_number": "954-544-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT12966",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.