Active NPI
Andrea L Murray
- Occupational Therapy Assistant
- Cocoa, FL
National Provider Identifier
1063853471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 12880
- Practice address
- 234 Willard St
Cocoa, FL 32922-7984 - Phone
- (321) 795-6007
- Fax
- (877) 787-5595
- NPI assigned
- Jul 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 12880 | FL | Primary |
Addresses
Primary practice location
234 Willard St
Cocoa, FL 32922-7984
Mailing address
8584 Eden Isles LN
Merritt Island, FL 32952-6800
Phone (321) 795-6007
Other names 1
- Andrea Daniels
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 12880 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTS Staffing LLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Merritt Island, FL
- NPI 1205037793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373673600000",
"number": "1063853471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8584 EDEN ISLES LN",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329526800",
"telephone_number": "321-795-6007",
"fax_number": "877-787-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WILLARD ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329227984",
"telephone_number": "321-795-6007",
"fax_number": "877-787-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "ANDREA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-13",
"last_updated": "2013-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 12880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "DANIELS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.