Individual provider Active NPI

Laryssa Ferreira Booth

  • Occupational Therapy Assistant
  • Delray Beach, FL
National Provider Identifier
1134592827
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
14155 Issued in FL
Practice address
905 Southridge Rd Apt 202B
Delray Beach, FL 33444-8105
Phone
(316) 516-0662
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 14155 FL Primary

Addresses

Primary practice location

905 Southridge Rd Apt 202B
Delray Beach, FL 33444-8105

Mailing address

905 Southridge Rd Apt 202B
Delray Beach, FL 33444-8105
Phone (316) 516-0662

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
14155FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1134592827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SOUTHRIDGE RD APT 202B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448105",
            "telephone_number": "316-516-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SOUTHRIDGE RD APT 202B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448105",
            "telephone_number": "316-516-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA BOOTH",
        "first_name": "LARYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "14155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.