Active NPI
Katia L Paul, COTA
- Occupational Therapy Assistant
- Palm Bay, FL
National Provider Identifier
1265765978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11036
- Practice address
- 700 Geddes St SW
Palm Bay, FL 32908-4227 - Phone
- (305) 764-9131
- NPI assigned
- Sep 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 11036 | FL | Primary |
Addresses
Primary practice location
700 Geddes St SW
Palm Bay, FL 32908-4227
Mailing address
700 Geddes St SW
Palm Bay, FL 32908-4227
Phone (305) 764-9131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11036 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252800000000",
"number": "1265765978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GEDDES ST SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329084227",
"telephone_number": "305-764-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GEDDES ST SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329084227",
"telephone_number": "305-764-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "KATIA",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-13",
"last_updated": "2009-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "11036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.