Active NPI
Vanessa Tobon
- Hand Occupational Therapist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC44C | Other | FL | FLORIDA BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT17052 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Axispro Physical Therapy LLC | Occupational Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Melbourne, FL
- NPI 1821443474
Occupational Therapist
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
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.