Active NPI
Eleni Georgiou, OT
- Occupational Therapist
- Riverview, FL
National Provider Identifier
1407957178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20014
- Practice address
- 11368 Cocoa Beach Dr
Riverview, FL 33569-2950 - Phone
- (505) 263-2964
- NPI assigned
- Sep 26, 2006
- 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 | 1148 | NM | |
| Occupational Therapist | 225X00000X | 20014 | FL | Primary |
Addresses
Primary practice location
11368 Cocoa Beach Dr
Riverview, FL 33569-2950
Mailing address
11368 Cocoa Beach Dr
Riverview, FL 33569-2950
Phone (505) 263-2964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q8056 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1148 | NM | MD | Acupuncturist |
| 20014 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1407957178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11368 COCOA BEACH DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692950",
"telephone_number": "505-263-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11368 COCOA BEACH DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692950",
"telephone_number": "505-263-2964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGIOU",
"first_name": "ELENI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2024-07-09",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "1148",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "20014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q8056",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.