Active NPI
Luciana Decamargo
- Occupational Therapist
- Lake Mary, FL
National Provider Identifier
1285810168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109431
- Practice address
- 250 International Pkwy
Ste 260
Lake Mary, FL 32746-5030 - Phone
- (800) 806-6026
- NPI assigned
- Jan 10, 2008
- 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 Therapist | 225X00000X | 109431 | TX | Primary |
Addresses
Primary practice location
250 International Pkwy
Ste 260
Lake Mary, FL 32746-5030
Mailing address
9335 Regal Dr
Waco, TX 76712-8418
Phone (254) 855-7789
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 |
|---|---|---|---|
| 109431 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1285810168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9335 REGAL DR",
"city": "WACO",
"state": "TX",
"postal_code": "767128418",
"telephone_number": "254-855-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 INTERNATIONAL PKWY",
"address_2": "STE 260",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465030",
"telephone_number": "800-806-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECAMARGO",
"first_name": "LUCIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.