Individual provider Active NPI

Nylah Darlene Lummer, ORT/L

  • Pediatric Occupational Therapist
  • Miami, FL
National Provider Identifier
1952980583
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
21733 Issued in FL
Practice address
520 NW 165TH St Ste 205
Miami, FL 33169-6343
Phone
(786) 623-4053
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 21733 FL
Occupational Therapist 225X00000X 17497 CA
Pediatric Occupational Therapist 225XP0200X 17497 CA
Pediatric Occupational Therapist 225XP0200X 21733 FL Primary

Addresses

Primary practice location

520 NW 165TH St Ste 205
Miami, FL 33169-6343

Mailing address

1912 S Ocean Dr Apt 16C
Hallandale Beach, FL 33009-5969
Phone (707) 486-2523

Other practice location 1

1912 S Ocean Dr Apt 16C
Hallandale Beach, FL 33009-5969
Phone (707) 486-2523

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21733FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1952980583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S OCEAN DR APT 16C",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095969",
            "telephone_number": "707-486-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NW 165TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696343",
            "telephone_number": "786-623-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 S Ocean Dr Apt 16C",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330095969",
            "country_code": "US",
            "telephone_number": "707-486-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMMER",
        "first_name": "NYLAH",
        "middle_name": "DARLENE",
        "credential": "ORT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21733",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17497",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "17497",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "21733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.