Active NPI
Robin Mae Medeiros, OTR/L
- Occupational Therapist
- Sarasota, FL
National Provider Identifier
1174610703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11414
- Practice address
- 4630 17TH St
Sarasota, FL 34235-1843 - Phone
- (941) 487-5400
- Fax
- (941) 487-5430
- NPI assigned
- Oct 6, 2006
- Last updated
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11414 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT11414 | FL |
Addresses
Primary practice location
4630 17TH St
Sarasota, FL 34235-1843
Mailing address
4630 17TH St
Sarasota, FL 34235-1843
Phone (941) 487-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288639 | Other | FL | AMERIGROUP |
| 889708500 | Medicaid | FL | |
| Z066T | Other | FL | BLUE CROSS BLUE SHEILD |
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 |
|---|---|---|---|
| OT11414 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1174610703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 17TH ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342351843",
"telephone_number": "941-487-5400",
"fax_number": "941-487-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 17TH ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342351843",
"telephone_number": "941-487-5400",
"fax_number": "941-487-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "ROBIN",
"middle_name": "MAE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11414",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT11414",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "288639",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889708500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "Z066T",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
- Meadows Dental Associates
- Meadows of Sarasota LLC (The Meadows of Sarasota Senior Living)
- Meals on Wheels of Sarasota, Inc.
- Med-Florida Health Services, Inc.
- Medallion Home Care of FL LLC
- Mederi of Manatee County, Inc.
- Medfund LLC (Horizon Sarasota LLC)
- Medical Access Inc
- Medical Arts Pharmacy of Sarasota LLC (Medical Arts Long Term Care Pharmacy)
- Medical Arts Pharmacy of Sarasota LLC (Medical Arts Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.