Individual provider Active NPI

Desiree Carolina Hardwick, OTR/L; NTMTC

  • Pediatric Occupational Therapist
  • Spring Hill, FL
National Provider Identifier
1013195676
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT19354 Issued in FL
Practice address
12601 Spring Hill Dr
Spring Hill, FL 34609-5009
Phone
(352) 559-9500
Fax
(352) 559-0585
NPI assigned
Feb 6, 2008
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 007043 OH
Pediatric Occupational Therapist 225XP0200X OT19354 FL Primary

Addresses

Primary practice location

12601 Spring Hill Dr
Spring Hill, FL 34609-5009

Mailing address

13163 Haverhill Dr
Spring Hill, FL 34609-0643
Phone (915) 253-1691

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

LicenseStateTypeSpecialty
OT 007043OHMDOccupational Therapist
OT19354FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderkids Occupational Therapy, LLC Occupational Therapist CurrentSince May 1, 2021 Accepting new patients
Midwest Therapy Associates, Inc. Past Accepting new patients
Midwest Therapy Associates, Inc. Past Accepting new patients
O. T. 4 Kids, Inc Occupational Therapist PastSince Apr 1, 2021 Accepting new patients

Locations

12601 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 559-9500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1013195676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13163 HAVERHILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090643",
            "telephone_number": "915-253-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095009",
            "telephone_number": "352-559-9500",
            "fax_number": "352-559-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "DESIREE",
        "middle_name": "CAROLINA",
        "credential": "OTR/L; NTMTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 007043",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT19354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.