Active NPI
Carlota Vazquez
- Occupational Therapist
- Brooksville, FL
National Provider Identifier
1356742746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4196
- Practice address
- 15945 Oakcrest Cir
Brooksville, FL 34604-8224 - Phone
- (352) 613-0116
- NPI assigned
- Sep 4, 2014
- Last updated
- May 14, 2020
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT4196 | FL | MD | Occupational Therapist |
| 002638 | CT | MD | Surgical 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.