Individual provider Active NPI

Carlota Vazquez

  • Occupational Therapist
  • Brooksville, FL
National Provider Identifier
1356742746
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4196 Issued in FL
Practice address
15945 Oakcrest Cir
Brooksville, FL 34604-8224
Phone
(352) 613-0116
NPI assigned
Sep 4, 2014
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 OT4196 FL Primary
Pediatric Occupational Therapist 225XP0200X 002638 CT

Addresses

Primary practice location

15945 Oakcrest Cir
Brooksville, FL 34604-8224

Mailing address

15945 Oakcrest Cir
Brooksville, FL 34604-8224
Phone (352) 613-0116

Other practice location 1

900 Main St
Oakville, CT 06779-1999
Phone (352) 613-0116

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
OT4196FLMDOccupational Therapist
002638CTMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1356742746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 OAKCREST CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048224",
            "telephone_number": "352-613-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 OAKCREST CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048224",
            "telephone_number": "352-613-0116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Main St",
            "address_purpose": "LOCATION",
            "city": "Oakville",
            "state": "CT",
            "postal_code": "067791999",
            "country_code": "US",
            "telephone_number": "352-613-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CARLOTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT4196",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "002638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.