NPIMap

Individual provider Active NPI

Ace Sterling Roxas Medina, OT

  • Occupational Therapist
  • Winter Haven, FL
National Provider Identifier
1073642203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5262 Issued in FL
Practice address
141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273
Phone
(863) 293-3700
Fax
(863) 292-0417
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5262 FL Primary

Addresses

Primary practice location

141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273

Mailing address

141 Avenue C SW
Suite 150
Winter Haven, FL 33880-3273
Phone (863) 293-3700

Other identifiers 2

IdentifierTypeStateIssuer
Y910GOtherFLBCBS
Y910JOtherFLBCBS

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

LicenseStateTypeSpecialty
OT5262FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, Inc. Occupational Therapist Past Accepting new patients
Rehab Specialists Inc. - Winter Haven Occupational Therapist Past Accepting new patients
Rehab Specialists Inc. - Winter Haven Occupational Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073642203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 AVENUE C SW",
            "address_2": "SUITE 150",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803273",
            "telephone_number": "863-293-3700",
            "fax_number": "863-292-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 AVENUE C SW",
            "address_2": "SUITE 150",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803273",
            "telephone_number": "863-293-3700",
            "fax_number": "863-292-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ACE STERLING",
        "middle_name": "ROXAS",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y910G",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y910J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.