Abigail Faith Pichardo, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21520 Issued in FL

Practice address

9200 NW 39TH Ave Ste 130-3364
Gainesville, FL 32606-7331

Phone

(352) 474-0543

NPI assigned

Jun 13, 2023

Last updated

Oct 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abigail Faith Bizub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dream Big My Darling LLC

  • Health Service Clinic/Center
  • Gainesville, FL
  • NPI 1689196073
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1053095737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 NW 39TH AVE STE 130-3364",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067331",
            "telephone_number": "352-474-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NW 39TH AVE STE 130-3364",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067331",
            "telephone_number": "352-474-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "ABIGAIL",
        "middle_name": "FAITH",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BIZUB",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evonne Claire Piazza, APRN
• Mary C Piazza, ARNP
• Susan Ellen Picado, MSW
• Teresa M Picciocchi, PSYD
• Nicholas Piccione
• Penelope Pichardo
• Brian E Pickens, MD
• N Earle Pickens, MD
• Jessica M Pickering, ATC
• Jessica Hagans Pickett, ARNP

• Occupational Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; 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.