Active NPI
Rosemarie Dutra, COTA
- Occupational Therapy Assistant
- Clermont, FL
National Provider Identifier
1003338351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 3109 Effingham Dr
Clermont, FL 34714-6168 - Phone
- (407) 951-0844
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
3109 Effingham Dr
Clermont, FL 34714-6168
Mailing address
3109 Effingham Dr
Clermont, FL 34714-6168
Phone (407) 951-0844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D360737879700 | Other | FL | FL DRIVERS LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1003338351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 EFFINGHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347146168",
"telephone_number": "407-951-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 EFFINGHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347146168",
"telephone_number": "407-951-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTRA",
"first_name": "ROSEMARIE",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DRIVERS LICENSE",
"identifier": "D360737879700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.