Individual provider Active NPI

Tierra S Momplaisir, OTR

  • Pediatric Occupational Therapist
  • Brandon, FL
National Provider Identifier
1093054330
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT15602 Issued in FL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008332400MedicaidFL
OTT15602OtherFLFLORIDA OT LICENSE

Other names 1

  • Ms. Tierra Robinson Former name

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
OT15602FLMDPediatric Occupational Therapist
OTT15602FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.