Active NPI
Tierra S Momplaisir, OTR
- Pediatric Occupational Therapist
- Brandon, FL
National Provider Identifier
1093054330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT15602
- Practice address
- 206 Ridgewood Ave Pediatric Therapy Services
Brandon, FL 33510-4617 - Phone
- (813) 662-1060
- Fax
- (813) 662-0530
- NPI assigned
- Feb 6, 2013
- Last updated
- May 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT15602 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OTT15602 | FL |
Addresses
Primary practice location
206 Ridgewood Ave Pediatric Therapy Services
Brandon, FL 33510-4617
Mailing address
206 Ridgewood Ave
Brandon, FL 33510-4617
Phone (863) 802-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008332400 | Medicaid | FL | |
| OTT15602 | Other | FL | FLORIDA OT LICENSE |
Other names 1
- Ms. Tierra Robinson
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 |
|---|---|---|---|
| OT15602 | FL | MD | Pediatric Occupational Therapist |
| OTT15602 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3 Step Services LLC | Pediatrics | Current | Accepting new patients |
| Pediatric Therapy Services Inc | Pediatrics | Past | Accepting new patients |
| Pediatric Therapy Services, Inc. | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1093054330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 RIDGEWOOD AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104617",
"telephone_number": "863-802-3800",
"fax_number": "863-802-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 RIDGEWOOD AVE PEDIATRIC THERAPY SERVICES",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104617",
"telephone_number": "813-662-1060",
"fax_number": "813-662-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMPLAISIR",
"first_name": "TIERRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT15602",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OTT15602",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008332400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA OT LICENSE",
"identifier": "OTT15602",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIERRA",
"last_name": "ROBINSON",
"prefix": "MS.",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.