Active NPI
Donna Vizcarrondo, COTA
- Occupational Therapy Assistant
- Longwood, FL
National Provider Identifier
1013160282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA17892
- Practice address
- 2639 W State Road 434
Longwood, FL 32779-4878 - Phone
- (321) 972-8326
- NPI assigned
- Oct 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA17892 | FL | Primary |
| Occupational Therapy Assistant | 224Z00000X | 006704-1 | NY |
Addresses
Primary practice location
2639 W State Road 434
Longwood, FL 32779-4878
Mailing address
6216 Lake Underhill Rd
Orlando, FL 32807-4812
Phone (845) 406-8836
Other practice location 1
70 Phillips Hill Rd
New City, NY 10956-4114
Phone (845) 635-2524 ext. 144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA17892 | FL | MD | Occupational Therapy Assistant |
| 006704-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1013160282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074812",
"telephone_number": "845-406-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794878",
"telephone_number": "321-972-8326"
}
],
"practiceLocations": [
{
"address_1": "70 Phillips Hill Rd",
"address_purpose": "LOCATION",
"city": "New City",
"state": "NY",
"postal_code": "109564114",
"country_code": "US",
"telephone_number": "845-635-2524 x144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIZCARRONDO",
"first_name": "DONNA",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA17892",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006704-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.