Ebony Dacres

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17004 Issued in NC

Practice address

4704 Rockvale Dr
Kissimmee, FL 34758-3360

Phone

(506) 861-1199

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Pediatric Therapy, LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1043483969

  Developmental Therapist

  NPD (past)
• Florida Pediatric Therapy, LLC

  • Developmental Therapist
  • Orlando, FL
  • NPI 1457007742
  NPD (past)
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1407314271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 ROCKVALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 ROCKVALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583360",
            "telephone_number": "506-861-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACRES",
        "first_name": "EBONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT19899",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19899",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy C D'Souza, DO
• D&Y Miracle Kids ABA Therpy Corp
• Raimundo Da Silva Rezende, RN
• Verona Michelle Abella Dacoco, APRN
• Jessica Ann Dacosta, FNP
• Jamaica Mia Dagdagan, APRN
• Romain J Dagot
• Whitney Dailey, PA-C
• Ali Mohamad Dakka, MD
• Nancy Dalmace

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.