Individual provider Active NPI

Maria Christine Perez-Quilab, OTR/L

  • Gerontology Occupational Therapist
  • Zephyrhills, FL
National Provider Identifier
1043407232
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT13140 Issued in FL
Practice address
38250 A Ave
Zephyrhills, FL 33542-5759
Phone
(813) 364-5496
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 013297 NY
Gerontology Occupational Therapist 225XG0600X OT13140 FL Primary

Addresses

Primary practice location

38250 A Ave
Zephyrhills, FL 33542-5759

Mailing address

4139 Dylan Thomas Dr
Wesley Chapel, FL 33543-7148
Phone (863) 604-7759

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
013297NYMDClinical Neuropsychologist
OT13140FLMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1043407232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 DYLAN THOMAS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437148",
            "telephone_number": "863-604-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38250 A AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335425759",
            "telephone_number": "813-364-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-QUILAB",
        "first_name": "MARIA CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013297",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT13140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.