Individual provider Active NPI

Nicole Kamelani Ochotorena, MOTR/L

  • Occupational Therapist
  • St Petersburg, FL
National Provider Identifier
1275880940
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14024 Issued in FL
Practice address
255 59TH St N
St Petersburg, FL 33710-8539
Phone
(727) 345-2775
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14024 FL Primary

Addresses

Primary practice location

255 59TH St N
St Petersburg, FL 33710-8539

Mailing address

2625 S Parkview St
Tampa, FL 33629-7614
Phone (813) 417-8738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915003818 FL Practitioner - Occupational Therapist in Private Practice 1658875547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ap Therapy LLCGroup PAC ID 9032552559, 56 clinicians

Practice addresses (Care Compare)

1297 US Hwy 27 N
Lake Placid, FL 33852-7907
Phone (800) 380-9153

4902 Bayshore Blvd
Tampa, FL 33611-3870
Phone (800) 380-9153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14024FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Occupational Therapist CurrentSince Oct 13, 2025 Accepting new patients
Ap Therapy LLC Occupational Therapist CurrentSince Oct 13, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023

4902 Bayshore Blvd
Tampa, FL 33611
Phone (813) 831-1928

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1275880940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 S PARKVIEW ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297614",
            "telephone_number": "813-417-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 59TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108539",
            "telephone_number": "727-345-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOTORENA",
        "first_name": "NICOLE",
        "middle_name": "KAMELANI",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.