Active NPI
Jacqueline Tsotetsi
- Occupational Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1386216471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17972
- Practice address
- 7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433-3430 - Phone
- (561) 409-4490
- NPI assigned
- Jul 16, 2021
- Last updated
- Jul 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 17972 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433-3430
Mailing address
606 NW 82ND Ave
Apt. 601
Plantation, FL 33324
Phone (646) 651-7129
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 |
|---|---|---|---|
| 17972 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1386216471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 NW 82ND AVE",
"address_2": "APT. 601",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33324",
"telephone_number": "646-651-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD",
"address_2": "STE 210",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "561-409-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOTETSI",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "17972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.