Active NPI
Levi Langdale, OT
- Occupational Therapist
- South Daytona, FL
National Provider Identifier
1316521966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23344
- Practice address
- 650 Reed Canal Rd
South Daytona, FL 32119-3230 - Phone
- (386) 767-4831
- NPI assigned
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 23344 | FL | Primary |
Addresses
Primary practice location
650 Reed Canal Rd
South Daytona, FL 32119-3230
Mailing address
532 Lafayette St
Port Orange, FL 32127-4416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523003657 | FL | Practitioner - Occupational Therapist in Private Practice | 9739545377 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1335 Stranssner Dr
Brentwood, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15055 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1316521966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 LAFAYETTE ST",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 REED CANAL RD",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193230",
"telephone_number": "386-767-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGDALE",
"first_name": "LEVI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-10",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.