Vung Foo X
Individual provider Active NPI Occupational Therapy Assistant · Parrish, FL
NPI 1194259200 · NPPES record last updated Apr 14, 2017
Key facts
- NPI
- 1194259200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA14576 (FL)
- Practice address
- 1428 Hickory View Cir
Parrish, FL 34219-2792 - Phone
- (941) 479-4556
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA14576 | FL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA14576 | FL | Yes |
Addresses
Primary practice location
1428 Hickory View Cir
Parrish, FL 34219-2792
Mailing address
1428 Hickory View Cir
Parrish, FL 34219-2792
NPI Registry JSON
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1194259200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 HICKORY VIEW CIR",
"city": "PARRISH",
"state": "FL",
"postal_code": "342192792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 HICKORY VIEW CIR",
"city": "PARRISH",
"state": "FL",
"postal_code": "342192792",
"telephone_number": "941-479-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOO",
"first_name": "VUNG",
"name_suffix": "X",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA14576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parrish, FL
- Lori Fauquier
- Fitness Quest-Ellenton, LLC
- Richard Stephen Fletcher
- Susan Marie Flint
- Aimee Fontaine
- Stacy Ann Ford
- Forget Me Not Bus Services
- Robin Dee Forrester
- Aimee Forster
- Diana Francis
All providers in Parrish, FL · Occupational Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.