Individual provider Active NPI

Mae Asuncion Recta, OT

  • Occupational Therapist
  • Crystal River, FL
National Provider Identifier
1164739652
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12698 Issued in FL
Practice address
255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891
Phone
(352) 795-4114
Fax
(352) 563-2438
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12698 FL Primary

Addresses

Primary practice location

255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891

Mailing address

255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4891
Phone (352) 795-4114

Other identifiers 1

IdentifierTypeStateIssuer
OT12698OtherFLOCCUPATIONAL THERAPIST

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Clinic for Rehabilitation Past Accepting new patients
Nosky P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1164739652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294891",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "address_2": "SUITE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294891",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTA",
        "first_name": "MAE",
        "middle_name": "ASUNCION",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT12698",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.