Individual provider Active NPI

Jessica Lyn Piotraczk, OT

  • Occupational Therapist
  • Clermont, FL
National Provider Identifier
1194928085
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12760 Issued in FL
Practice address
2440 Hooks St
Clermont, FL 34711-3514
Phone
(352) 394-2862
Fax
(352) 394-2861
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 OT12760 FL Primary

Addresses

Primary practice location

2440 Hooks St
Clermont, FL 34711-3514

Mailing address

2440 Hooks St
Clermont, FL 34711-3514
Phone (352) 394-2862

Other practice location 1

123 US Highway 27 N
Sebring, FL 33870-2100
Phone (863) 471-6303

Other practice location 2

17313 Pagonia Rd Ste N
Clermont, FL 34711-5940
Phone (352) 386-7001

Other identifiers 1

IdentifierTypeStateIssuer
OT12760OtherFLFLORIDA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000390 FL Practitioner - Occupational Therapist in Private Practice 5193809416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

2440 Hooks St
Clermont, FL 34711-3514
Phone (321) 841-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

2440 Hooks St
Clermont, FL 34711
Phone (352) 394-0833

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1194928085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HOOKS ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113514",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HOOKS ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113514",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338702100",
            "country_code": "US",
            "telephone_number": "863-471-6303",
            "fax_number": "863-471-1251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17313 Pagonia Rd Ste N",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115940",
            "country_code": "US",
            "telephone_number": "352-386-7001",
            "fax_number": "352-386-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIOTRACZK",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "OT12760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.