Individual provider Active NPI

Staica Barthelemy Vital, COTA

  • Occupational Therapy Assistant
  • West Palm Beach, FL
National Provider Identifier
1033620661
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
15936 Issued in FL
Practice address
1007 Green Pine Blvd Apt F1
West Palm Beach, FL 33409-7017
Phone
(561) 273-3275
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 15936 FL Primary

Addresses

Primary practice location

1007 Green Pine Blvd Apt F1
West Palm Beach, FL 33409-7017

Mailing address

1007 Green Pine Blvd Apt F1
West Palm Beach, FL 33409-7017
Phone (561) 273-3275

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1033620661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GREEN PINE BLVD APT F1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097017",
            "telephone_number": "561-273-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GREEN PINE BLVD APT F1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097017",
            "telephone_number": "561-273-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHELEMY VITAL",
        "first_name": "STAICA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.