Nina Teresa Powell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15360 Issued in FL

Practice address

12313 Kentbrook Manor LN
Riverview, FL 33579-3938

Phone

(919) 830-9863

Fax

(919) 521-8763

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nina Teresa Laucius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1407106172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 KENTBROOK MANOR LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 KENTBROOK MANOR LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793938",
            "telephone_number": "919-830-9863",
            "fax_number": "919-521-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "NINA",
        "middle_name": "TERESA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "LAUCIUS",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nigel G Poulton, LMHC
• Bridgett Corin Powe, OT
• Antwanique Powell
• Cheryl Powell, ACNPC-AG
• John Gregory Powell, RRT
• Seles Powell, PT
• Power Play Sports & Therapy LLC
• Vanessa Power
• James Powers
• Jessica Powers, LCSW

• Occupational Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.