Faith Whitehead, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17053 Issued in FL

Practice address

606 NE 7TH St # 463-7101
Trenton, FL 32693-3636

Phone

(352) 463-7101

NPI assigned

Feb 28, 2019

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1104383892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SW 4TH AVE",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326934246",
            "telephone_number": "818-220-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 NE 7TH ST # 463-7101",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933636",
            "telephone_number": "352-463-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "FAITH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-4265)
• Maria Walker
• Shirley A Walker, LMHC
• Dylan Wang
• Robin Westmoreland
• David Wilcox
• Leanne Williams
• Paulette Yevonne Williams
• Sharon Williamson, APRN
• Elliott Woehler, LMHC

• Occupational Therapy Assistant in Trenton, FL
• Providers in Trenton, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.