Individual provider Active NPI

Dennis Michael Varin Jr., COTA/L

  • Occupational Therapy Assistant
  • Lehigh Acres, FL
National Provider Identifier
1235617903
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA16674 Issued in FL
Practice address
5598 8TH St W
Lehigh Acres, FL 33971-6341
Phone
(239) 674-9374
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16674 FL Primary

Addresses

Primary practice location

5598 8TH St W
Lehigh Acres, FL 33971-6341

Mailing address

1057 Venture St
Lehigh Acres, FL 33974-9517
Phone (931) 801-2557

Other identifiers 1

IdentifierTypeStateIssuer
006236000MedicaidFL

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
OTA16674FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1235617903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 VENTURE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339749517",
            "telephone_number": "931-801-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5598 8TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716341",
            "telephone_number": "239-674-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARIN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006236000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.