Rosa A Gardiner, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20102 Issued in FL

Practice address

3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481

Phone

(407) 308-3996

NPI assigned

Dec 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1174683445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRANNAN PL UNIT 103",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596981",
            "telephone_number": "334-400-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171481",
            "telephone_number": "407-308-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 County Road 3323",
            "address_purpose": "LOCATION",
            "city": "Brundidge",
            "state": "AL",
            "postal_code": "360104016",
            "country_code": "US",
            "telephone_number": "334-735-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "ROSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20102",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "2271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Gardberg, MD
• Garden of Eden Health and Wellness LLC
• Garden of Eden Home Care LLC
• Garden of Eden Medical Group LLC
• Alexandra Gardi
• Nicole Gardner Luciano
• Brent F Gardner, MD
• Carol C Gardner, MD
• Devannah Victoria Gardner, APRN
• Jazmin Stephanie Gardner, DOULA

• Occupational Therapist in Orlando, FL
• Providers in Orlando, 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 6, 2019; 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.