Life Enrichment & Wellness

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13709 Issued in FL

Legal business name

LIFE ENRICHMENT & WELLNESS

Practice address

552 10TH PL
Vero Beach, FL 32960

Phone

(772) 494-3010

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Carol Ann Defazio, MSOTR

Title

Occupational Therapist

Phone

(772) 494-3010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1255825055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 10TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606823",
            "telephone_number": "772-494-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 10TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-494-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENRICHMENT & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "DEFAZIO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "772-494-3010",
        "authorized_official_credential": "MSOTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron H Liebman, AU.D.
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• Lifestyle Optical
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• Occupational Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Occupational Therapist in Florida

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