Healthcare Provider Details

I. General information

NPI: 1437071719
Provider Name (Legal Business Name): PATRICIA AMAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 NE 26TH STREET
WILTON MANORS FL
33305
US

IV. Provider business mailing address

6100 S FALLS CIRCLE DR APT 205
LAUDERHILL FL
33319-6918
US

V. Phone/Fax

Practice location:
  • Phone: 954-303-1485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTA20073
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: