Alicia Marciana Vasquez, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA006867 Issued in OH

Practice address

3745 Woodworth Dr
Lorain, OH 44053-6100

Phone

(440) 989-6094

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia Marciana Amador Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1265178321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WOODWORTH DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440536100",
            "telephone_number": "440-989-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WOODWORTH DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440536100",
            "telephone_number": "440-989-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ALICIA",
        "middle_name": "MARCIANA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA006867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "AMADOR",
            "middle_name": "MARCIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fremio Vargas, MD
• Allison E Vargo, CRNA
• Kinah Vargovich
• Katelyn Varn
• Jesse Evangeline Varner
• Ana B Vazquez
• Eliezer Vazquez
• Luzdalie Vazquez
• Sonya Ariel Vega
• Anthony Michael Velez, APRN.CNP

• Occupational Therapy Assistant in Lorain, OH
• Providers in Lorain, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.