Bianca Petrocelli Otrl, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BIANCA PETROCELLI OTRL, LLC

Practice address

11230 Alligator TRL
Lake Worth, FL 33449-5849

Phone

(732) 742-8918

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bianca Petrocelli, OTR/LNPI 1558007799

Title

Owner

Phone

(732) 742-8918

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bianca Rose Petrocelli, OTR/L

  • Occupational Therapist
  • Lake Worth, FL
  • NPI 1558007799
  Authorized official Same address or phone

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1154108314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 ALLIGATOR TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495849",
            "telephone_number": "732-742-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 ALLIGATOR TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495849",
            "telephone_number": "732-742-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANCA PETROCELLI OTRL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "PETROCELLI",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-742-8918",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.