Epd Occupational Therapy Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT13105 Issued in FL

Legal business name

EPD OCCUPATIONAL THERAPY INC.

Practice address

1425A E Commercial Blvd
Oakland Park, FL 33334-5715

Phone

(954) 281-5606

Fax

(954) 281-5626

NPI assigned

Jul 1, 2013

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Maria Pacchetti-D'Amaro, OTR/L

Title

President

Phone

(631) 889-3235

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Baum, SLPA

  • Speech-Language Assistant
  • Oakland Park, FL
  • NPI 1063954592
  NPD (past)
• Darlene Gray, CCC-SLP

  • Speech-Language Pathologist
  • Oakland Park, FL
  • NPI 1649711425
  NPD (past)
• Shawna Mills

  • Occupational Therapy Assistant
  • Oakland Park, FL
  • NPI 1033658711
  NPD (past)
• Danielle A Olmstead, COTA/L

  • Occupational Therapy Assistant
  • Hollywood, FL
  • NPI 1154863686
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1043650351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425A E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345715",
            "telephone_number": "954-281-5606",
            "fax_number": "954-281-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425A E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345715",
            "telephone_number": "954-281-5606",
            "fax_number": "954-281-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPD OCCUPATIONAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "PACCHETTI-D'AMARO",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-889-3235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT13105",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13105",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT13105",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT13105",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13105",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12311298",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892795200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.