Individual provider Active NPI

Bonnie Lee Arenas-Rose

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1225837305
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26021 Issued in FL
Practice address
494 E Illiana St
Orlando, FL 32806-5415
Phone
(407) 877-0029
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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 26021 FL Primary

Addresses

Primary practice location

494 E Illiana St
Orlando, FL 32806-5415

Mailing address

494 E Illiana St
Orlando, FL 32806-5415

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
26021FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Foundations OT, LLC Occupational Therapist Current Accepting new patients
Puttential, Inc PastSince Mar 20, 2025 Accepting new patients
Puttential, Inc Occupational Therapist PastSince Mar 20, 2025 Accepting new patients

Organizations & group practices 3

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1225837305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065415",
            "telephone_number": "407-877-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENAS-ROSE",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "26021",
            "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 Apr 5, 2025; 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.