MEDICARE: MS. CHAUNTE T MCCREA OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	251E00000X	Home Health Agency	OT11897	FL
3	225X00000X	Occupational Therapist	OT11897	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215133343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHAUNTE T MCCREA OTR

Provider Business Mailing Address
First Line	:	1741 NW 186TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3310
Country	:	US
Telephone Number	:	786-277-2570
Fax Number	:	305-687-4588

Provider Business Practice Location Address
First Line	:	1741 NW 186TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3310
Country	:	US
Telephone Number	:	786-277-2570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	10/04/2021

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