Organization Active NPI

Inspire Pediatric Therapies LLC

  • Occupational Therapist
  • Winter Park, FL
National Provider Identifier
1104294552
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6909 Issued in FL
Legal business name
INSPIRE PEDIATRIC THERAPIES LLC
Practice address
917 N Pennsylvania Ave
Winter Park, FL 32789-2456
Phone
(407) 437-2968
Fax
(321) 972-3792
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Susan Kerton-Locascio, OTR/L
Title
Owner
Phone
(407) 437-2968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT6909 FL Primary

Addresses

Primary practice location

917 N Pennsylvania Ave
Winter Park, FL 32789-2456

Mailing address

2645 Tierra Cir
Winter Park, FL 32792-2208
Phone (407) 437-2968

Other identifiers 1

IdentifierTypeStateIssuer
884104700MedicaidFL

National Provider Directory

National Provider Directory

Locations

917 N Pennsylvania Ave
Winter Park, FL 32789
Phone (407) 437-2968

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1104294552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 TIERRA CIR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922208",
            "telephone_number": "407-437-2968",
            "fax_number": "321-972-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892456",
            "telephone_number": "407-437-2968",
            "fax_number": "321-972-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE PEDIATRIC THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "KERTON-LOCASCIO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-437-2968",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884104700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.