Organization Active NPI

Creative Occupational Therapy Services, LLC

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1275043887
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18616 Issued in FL
Legal business name
CREATIVE OCCUPATIONAL THERAPY SERVICES, LLC
Practice address
21061 Windemere LN
Boca Raton, FL 33428-1116
Phone
(305) 776-6577
NPI assigned
Oct 9, 2017
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Irina Spivak, OTR/LNPI 1679631345
Title
Occupational Therapist
Phone
(305) 776-6577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 18616 FL Primary

Addresses

Primary practice location

21061 Windemere LN
Boca Raton, FL 33428-1116

Mailing address

21061 Windemere LN
Boca Raton, FL 33428-1116
Phone (305) 776-6577

National Provider Directory

National Provider Directory

Locations

1726 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 454-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1275043887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21061 WINDEMERE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281116",
            "telephone_number": "305-776-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21061 WINDEMERE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281116",
            "telephone_number": "305-776-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SPIVAK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "305-776-6577",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.