Individual provider Active NPI

Karie Alicia McGuire, MS OTR

  • Occupational Therapist
  • Oviedo, FL
National Provider Identifier
1215206875
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20117 Issued in FL
Practice address
1000 W Broadway St Ste 214
Oviedo, FL 32765-9262
Phone
(407) 359-5693
Fax
(407) 792-5693
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12406 CA
Occupational Therapist 225X00000X 20117 FL Primary

Addresses

Primary practice location

1000 W Broadway St Ste 214
Oviedo, FL 32765-9262

Mailing address

1809 W Broadway St #122
Oviedo, FL 32765-8597
Phone (407) 359-5693

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20117FLMDDermatology Physician
OT12406CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1215206875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W BROADWAY ST #122",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658597",
            "telephone_number": "407-359-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BROADWAY ST STE 214",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659262",
            "telephone_number": "407-359-5693",
            "fax_number": "407-792-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "KARIE",
        "middle_name": "ALICIA",
        "credential": "MS OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT12406",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.