Active NPI
Richard Allen Buck, COTA/L
- Occupational Therapy Assistant
- Gainesville, FL
National Provider Identifier
1124458658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA13152
- Practice address
- 6700 NW 10TH PL
Gainesville, FL 32605-4213 - Phone
- (352) 331-6280
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- 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 | OTA13152 | FL | Primary |
Addresses
Primary practice location
6700 NW 10TH PL
Gainesville, FL 32605-4213
Mailing address
6700 NW 10TH PL
Gainesville, FL 32605-4213
Phone (352) 331-6280
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 |
|---|---|---|---|
| OTA13152 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1124458658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 NW 10TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054213",
"telephone_number": "352-331-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 NW 10TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054213",
"telephone_number": "352-331-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA13152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.