FELIPE MODENESE BASTOS – Occupational Therapist, NPI 1063981843

FELIPE MODENESE BASTOS is a healthcare provider. based in Miami, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OT19039 (FL). The NPI Number for FELIPE MODENESE BASTOS is 1063981843

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
FELIPE MODENESE BASTOS
NPI
1063981843
Phone
(571) 345-4224
Address
3194 GIFFORD LN
Enumeration Date
21 November 2018
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773679772
Graduation Year
2017 (9 years ago)
PAC ID
8224375407
Group Practice PAC ID
3274962790
Professional Enrollment ID
I20190125001261
Address ID
FL349945516ST3400XLNXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for FELIPE MODENESE BASTOS

  • 3194, Gifford Lane, South Bay Estates, Miami, Miami-Dade County, Florida, 33133, United States

    MIAMI, FL 331334431

    Phone: (571) 345-4224

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190125001261IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274962790View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Can I verify FELIPE MODENESE BASTOS with an NPI only?
You can start verification with NPI 1063981843 for FELIPE MODENESE BASTOS, then check state licensing separately.
Does CMS list FELIPE MODENESE BASTOS as active?
Yes — FELIPE MODENESE BASTOS is active in the NPI listing used on this page.
What is FELIPE MODENESE BASTOS's specialty?
The listing groups FELIPE MODENESE BASTOS with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does FELIPE MODENESE BASTOS serve?
FELIPE MODENESE BASTOS's listing highlights Miami, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.