Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raul Ivan Acosta, OTR

Individual provider Occupational Therapist · NPI 1629651914

Raul Ivan Acosta, OTR is an Occupational Therapist in Private Practice in Miami Lakes, Florida. Qualified in 2021, 5 years ago. Practices with Sobe Innovative Rehabilitation PLLC, a 181-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

5190 NW 167th St Ste 304
Miami Lakes, FL 33014-6338
Phone: (305) 756-9947
Fax: (305) 756-9948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT21796 (FL)

Record details

NPI number1629651914
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sobe Innovative Rehabilitation Pllc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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