Active NPI
Wanda Kay Vasquez, OT
- Occupational Therapist
- Debary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15977
- Practice address
- 60 N Charles Richard Beall Blvd
Debary, FL 32713-2513 - Phone
- (386) 668-4426
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
FL, Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1134844848
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
-
- Rehabilitation Clinic/Center
- Fort Wayne, IN
- NPI 1154017481
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1225766447
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1255900296
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
-
- Rehabilitation Clinic/Center
- Williamsburg, VA
- NPI 1336872365
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1407586555
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
-
- Rehabilitation Clinic/Center
- Dyer, IN
- NPI 1497441729
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation LLCLegacy Healthcare Services Inc
Practice addresses (Care Compare)
100 Carrick CT
Mt Juliet, TN 37122-8328
Phone (615) 380-4843
1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772
105 Sunrise Cir
Franklin, TN 37067-8246
Phone (615) 472-1589
1370 Celebration Blvd
Celebration, FL 34747-5546
Phone (407) 818-1236
4131 Andrew Jackson Pkwy
Hermitage, TN 37076-2270
Phone (615) 649-8841
435 NW Rutland Rd
Mt Juliet, TN 37122-8700
Phone (615) 257-1073
8458 Gleason Dr
Knoxville, TN 37919-5482
Phone (865) 474-9837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190206002320 | FL | Practitioner - Occupational Therapist in Private Practice | 2567700198 | Reassigns benefits to 1 organization |
| I20230223000644 | TN | Practitioner - Occupational Therapist in Private Practice | 2567700198 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3717 | TN | MD | Occupational Therapy Assistant |
| OT15977 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Single Specialty | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
110 Horizon Dr
#310
Raleigh, NC 27615
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT15977 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
60 N Charles Richard Beall Blvd
Debary, FL 32713-2513
Mailing address
245 S Lake Cortez Dr
Apopka, FL 32703-4827
Phone (615) 927-2405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2018.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1043795115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 S LAKE CORTEZ DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034827",
"telephone_number": "615-927-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N CHARLES RICHARD BEALL BLVD",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132513",
"telephone_number": "386-668-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "WANDA",
"middle_name": "KAY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.