Active NPI
Rowena Pablico
- Occupational Therapy Assistant
- Kissimmee, FL
National Provider Identifier
1083993968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 211223
- Practice address
- 1409 Bryan St
Kissimmee, FL 34741-5515 - Phone
- (407) 968-0112
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 211223 | TX | Primary |
Addresses
Primary practice location
1409 Bryan St
Kissimmee, FL 34741-5515
Mailing address
820 W Spring Creek Pkwy Ste 400N
Plano, TX 75023-4634
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 |
|---|---|---|---|
| 211223 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Services, LLC | Current | Accepting new patients |
Locations
820 W Spring Creek Pkwy
Ste 400N
Plano, TX 75023
Phone (972) 424-3777
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.
-
- Home Health Agency
- Abilene, TX
- NPI 1619531647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1083993968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W SPRING CREEK PKWY STE 400N",
"city": "PLANO",
"state": "TX",
"postal_code": "750234634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 BRYAN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415515",
"telephone_number": "407-968-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABLICO",
"first_name": "ROWENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "211223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.