Individual provider Active NPI

Vanessa Tobon

  • Hand Occupational Therapist
  • Melbourne, FL
National Provider Identifier
1356707327
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone
(407) 573-3352
Fax
(407) 573-3355
NPI assigned
Jan 6, 2016
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17052 FL
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

5565 N Wickham Rd
Melbourne, FL 32940-7304

Mailing address

5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone (407) 573-3352

Other practice location 1

4311 Norfolk Pkwy Ste 116
West Melbourne, FL 32904-8617
Phone (321) 802-5814

Other practice location 2

2030 S Patrick Dr Ste 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 802-5814

Other practice location 3

5445 Murrell Rd Ste 105
Viera, FL 32955-6679
Phone (321) 802-5814

Other practice location 4

6300 N Wickham Rd Ste 116
Melbourne, FL 32940-2023
Phone (321) 802-5814

Other practice location 5

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936
Phone (321) 802-5814

Other identifiers 1

IdentifierTypeStateIssuer
GC44COtherFLFLORIDA BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001391 FL Practitioner - Occupational Therapist in Private Practice 7618211251 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT17052FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Axispro Physical Therapy LLC Occupational Therapist CurrentSince Apr 1, 2020 Accepting new patients

Locations

405 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 327-8509

5565 N Wickham Rd
Melbourne, FL 32940
Phone (407) 573-3352

1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Organizations & group practices 3

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1356707327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407304",
            "telephone_number": "407-573-3352",
            "fax_number": "407-573-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407304",
            "telephone_number": "407-573-3352",
            "fax_number": "407-573-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 Norfolk Pkwy Ste 116",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329048617",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 S Patrick Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374400",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5445 Murrell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329556679",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 N Wickham Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402023",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 S Harbor City Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011936",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBON",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17052",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "GC44C",
            "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 Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.