Individual provider Active NPI

Antonia Llull, MOT,OTR/L

  • Occupational Therapist
  • Altamonte Springs, FL
National Provider Identifier
1356435382
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00716600 Issued in NJ
Practice address
505 Maitland Ave Ste 1150
Altamonte Springs, FL 32701-6306
Phone
(321) 972-1617
Fax
(321) 972-1947
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT8396 FL
Occupational Therapist 225X00000X 019956-1 NY
Occupational Therapist 225X00000X 46TR00716600 NJ Primary

Addresses

Primary practice location

505 Maitland Ave Ste 1150
Altamonte Springs, FL 32701-6306

Mailing address

505 Maitland Ave Ste 1150
Altamonte Springs, FL 32701-6306
Phone (321) 972-1617

Other practice location 1

140 Tonina Cv
Suite 100
Maitland, FL 32751-3442
Phone (407) 388-0246

Other identifiers 2

IdentifierTypeStateIssuer
884360100MedicaidFL
125827900MedicaidFL

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

LicenseStateTypeSpecialty
OT8396FLMDOccupational Therapist
46TR00716600NJMDOccupational Therapist
019956-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mpowerme, LLC CurrentSince Jan 1, 2021 Accepting new patients
A.LL Therapy Connection Inc Occupational Therapist Past Accepting new patients

Locations

505 Maitland Ave
Ste 1150
Altamonte Springs, FL 32701
Phone (321) 972-1617

29 State Rt 23 N
#1
Hamburg, NJ 07419

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1356435382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAITLAND AVE STE 1150",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016306",
            "telephone_number": "321-972-1617",
            "fax_number": "321-972-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAITLAND AVE STE 1150",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016306",
            "telephone_number": "321-972-1617",
            "fax_number": "321-972-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Tonina Cv",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327513442",
            "country_code": "US",
            "telephone_number": "407-388-0246",
            "fax_number": "407-332-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLULL",
        "first_name": "ANTONIA",
        "credential": "MOT,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8396",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019956-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00716600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884360100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125827900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.