Active NPI
Chiaki Cyr, OTR L
- Pediatric Occupational Therapist
- Melbourne, FL
National Provider Identifier
1336224641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 2057
- Practice address
- 4450 W Eau Gallie Blvd
Suite 208
Melbourne, FL 32934-7213 - Phone
- (321) 255-6627
- Fax
- (321) 259-8779
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 2057 | FL | Primary |
Addresses
Primary practice location
4450 W Eau Gallie Blvd
Suite 208
Melbourne, FL 32934-7213
Mailing address
3143 Appaloosa Blvd
Melbourne, FL 32934-7853
Phone (321) 271-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913455 | Medicaid | FL |
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 |
|---|---|---|---|
| OT 2057 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Plus Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Melbourne, FL
- NPI 1598790156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336224641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 APPALOOSA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347853",
"telephone_number": "321-271-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 W EAU GALLIE BLVD",
"address_2": "SUITE 208",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347213",
"telephone_number": "321-255-6627",
"fax_number": "321-259-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR",
"first_name": "CHIAKI",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 2057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913455",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.