Individual provider Active NPI

Aaron Allan Cherry, COTA

  • Occupational Therapy Assistant
  • Palatka, FL
National Provider Identifier
1083189286
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA13333 Issued in FL
Practice address
110 Kay Larkin Dr
Palatka, FL 32177-2300
Phone
(386) 325-0173
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 OTA13333 FL Primary

Addresses

Primary practice location

110 Kay Larkin Dr
Palatka, FL 32177-2300

Mailing address

2384 Oleander Ave
Middleburg, FL 32068-5523
Phone (904) 509-1333

Other practice location 1

2384 oleader ave
middleburg, FL 32068
Phone (904) 509-1333

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
OTA13333FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1083189286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 OLEANDER AVE",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685523",
            "telephone_number": "904-509-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "386-325-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2384 oleader ave",
            "address_purpose": "LOCATION",
            "city": "middleburg",
            "state": "FL",
            "postal_code": "32068",
            "country_code": "US",
            "telephone_number": "904-509-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "AARON",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.