Loreta Mogollon Olivera, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

11333 Issued in FL

Practice address

13590 SW 134TH Ave
Miami, FL 33186-4561

Phone

(786) 732-6646

Fax

(786) 842-3218

NPI assigned

Dec 27, 2016

Last updated

Dec 27, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Building Foundations Therapy Services, Inc.

  • Early Intervention Provider Agency
  • Miami, FL
  • NPI 1659044089
  NPD (past)
• Building Foundations Therapy Services, Inc.

  • Developmental Therapist
  • Miami, FL
  • NPI 1871832576
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1952846131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 SW 134TH AVE STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864575",
            "telephone_number": "786-732-6646",
            "fax_number": "786-842-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 SW 134TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864561",
            "telephone_number": "786-732-6646",
            "fax_number": "786-842-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGOLLON OLIVERA",
        "first_name": "LORETA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "11333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "OTA 11333",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moga, LMHC, LPCC
• Mogar Laboratory Corp
• Yoan Daniel Mogena Lopez, SA-C
• Kayla Moghavem
• Christine Mogire
• Cristhian E Mogollon, OTA
• Maria Gabriela Mogollon, D.D.S.
• Wahid Mohabir, M.D.
• Diana Mohamed Cabrera
• Mohammad M Masri Mdpa (Mohammad M Masri MD)

• Occupational Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.