Individual provider Active NPI

Keishla Marie Rodriguez Vega, OT

  • Occupational Therapist
  • Saint Cloud, FL
National Provider Identifier
1225617798
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21493 Issued in FL
Practice address
1682 Bay Breeze Dr
Saint Cloud, FL 34771-7482
Phone
(939) 242-1585
NPI assigned
Apr 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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 21493 FL Primary

Addresses

Primary practice location

1682 Bay Breeze Dr
Saint Cloud, FL 34771-7482

Mailing address

1682 Bay Breeze Dr
Saint Cloud, FL 34771-7482
Phone (939) 242-1585

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Aibonito Health Information Exchange (HIE)
CONNECT URL Aibonito Direct

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

LicenseStateTypeSpecialty
21493FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1225617798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 BAY BREEZE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717482",
            "telephone_number": "939-242-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 BAY BREEZE DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717482",
            "telephone_number": "939-242-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VEGA",
        "first_name": "KEISHLA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aibonito",
            "affiliation": "N",
            "endpointDescription": "Where I born",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Saint Cloud",
            "address_1": "1682 Bay Breeze Dr",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347717482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aibonito",
            "affiliation": "N",
            "endpointDescription": "Where I born",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Saint Cloud",
            "address_1": "1682 Bay Breeze Dr",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347717482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.