Individual provider Active NPI

Cecile Enad Barbon-Quirante, OTR

  • Occupational Therapist
  • Valparaiso, IN
National Provider Identifier
1376833095
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2010034688 Issued in MO
Practice address
74 Journey Way
Valparaiso, IN 46383-0078
Phone
(192) 554-3782
Fax
(317) 449-5783
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2010034688 MO Primary

Addresses

Primary practice location

74 Journey Way
Valparaiso, IN 46383-0078

Mailing address

2751 Flagstone Dr
Valparaiso, IN 46385-2813
Phone (314) 630-8592

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010034688MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1376833095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 FLAGSTONE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852813",
            "telephone_number": "314-630-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 JOURNEY WAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830078",
            "telephone_number": "192-554-3782",
            "fax_number": "317-449-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBON-QUIRANTE",
        "first_name": "CECILE",
        "middle_name": "ENAD",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2010034688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.