Individual provider Active NPI

Wanda Kay Vasquez, OT

  • Occupational Therapist
  • Debary, FL
National Provider Identifier
1043795115
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15977 Issued in FL
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.

View all 19

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 LLC 423 clinicians
Legacy Healthcare Services Inc 3,431 clinicians

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, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3717TNMDOccupational Therapy Assistant
OT15977FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Mar 12, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 8, 2022 Accepting new patients
Legacy Healthcare Services Inc Single Specialty CurrentSince Nov 8, 2022 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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT15977 FL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.