Individual provider Active NPI

Irene Plasencia, MOT/L

  • Occupational Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1285319327
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15110 Issued in FL
Practice address
3000 Central Gardens Cir
Palm Beach Gardens, FL 33418-8700
Phone
(561) 600-0782
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 OT15110 FL Primary

Addresses

Primary practice location

3000 Central Gardens Cir
Palm Beach Gardens, FL 33418-8700

Mailing address

11897 Birch St
Palm Beach Gardens, FL 33410-2109
Phone (561) 818-8388

Other names 1

  • Irene De la Guardia Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201002922 FL Practitioner - Occupational Therapist in Private Practice 5991158388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Rehab and Associates CorpGroup PAC ID 1850609934, 3 clinicians

Practice addresses (Care Compare)

3000 Central Gardens Way
2ND Floor Gym
Palm Beach Gardens, FL 33418-8700
Phone (561) 644-4186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT15110FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Rehab and Associates Corp Occupational Therapist CurrentSince Jan 23, 2024 Accepting new patients
Liberty of West Palm Beach Occupational Therapist PastSince Oct 8, 2023 Accepting new patients

Locations

1601 Belvedere Rd
Ste 407S
West Palm Beach, FL 33406

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24907/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1285319327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11897 BIRCH ST",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102109",
            "telephone_number": "561-818-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTRAL GARDENS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188700",
            "telephone_number": "561-600-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "IRENE",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "DE LA GUARDIA",
            "credential": "MOT/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.