Individual provider Active NPI

Desiree Vaupel, COTA/L

  • Occupational Therapy Assistant
  • Winter Garden, FL
National Provider Identifier
1083061733
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 14735 Issued in FL
Practice address
1222 Winter Garden Vineland Rd Ste 108
Winter Garden, FL 34787-4449
Phone
(407) 395-9976
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 14735 FL Primary

Addresses

Primary practice location

1222 Winter Garden Vineland Rd Ste 108
Winter Garden, FL 34787-4449

Mailing address

5801 Nature View Dr Apt 109
Windermere, FL 34786-5126
Phone (904) 536-1660

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
OTA 14735FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Therapy 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.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1083061733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NATURE VIEW DR APT 109",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865126",
            "telephone_number": "904-536-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WINTER GARDEN VINELAND RD STE 108",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874449",
            "telephone_number": "407-395-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUPEL",
        "first_name": "DESIREE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 14735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.