Individual provider Active NPI

Angela Shrote, COTA/L

  • Occupational Therapy Assistant
  • Hollywood, FL
National Provider Identifier
1265831895
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA9179 Issued in FL
Practice address
7400 Palomino Dr Apt 521
Hollywood, FL 33024-2349
Phone
(954) 778-4425
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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 OTA9179 FL Primary

Addresses

Primary practice location

7400 Palomino Dr Apt 521
Hollywood, FL 33024-2349

Mailing address

7400 Palomino Dr Apt 521
Hollywood, FL 33024-2349

Other identifiers 1

IdentifierTypeStateIssuer
OTA9179OtherFLOTA LIC

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
OTA9179FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1265831895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 PALOMINO DR APT 521",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 PALOMINO DR APT 521",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242349",
            "telephone_number": "954-778-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROTE",
        "first_name": "ANGELA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA LIC",
            "identifier": "OTA9179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.