Active NPI
Chevala C Scruggs, COTA/L
- Occupational Therapy Assistant
- Orlando, FL
National Provider Identifier
1225354780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.04117
- Practice address
- 6000 Turkey Lake Rd Ste 114
Orlando, FL 32819-4205 - Phone
- (321) 368-2172
- NPI assigned
- Apr 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.04117 | OH | Primary |
Addresses
Primary practice location
6000 Turkey Lake Rd Ste 114
Orlando, FL 32819-4205
Mailing address
6000 Turkey Lake Rd Ste 114
Orlando, FL 32819-4205
Phone (321) 368-2172
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6572
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 |
|---|---|---|---|
| OTA.04117 | OH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Tesla Pediatric Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Orlando, FL
- NPI 1578997268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1225354780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328194205",
"telephone_number": "321-368-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 TURKEY LAKE RD STE 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328194205",
"telephone_number": "321-368-2172"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-6572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCRUGGS",
"first_name": "CHEVALA",
"middle_name": "C",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.04117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.