Active NPI
Ciara Autumn Pearce, OTR/L, OTD
- Occupational Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 11555 Central Pkwy Ste 202
Jacksonville, FL 32224-2693 - Phone
- (904) 296-4140
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 4, 2024
- 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 Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
11555 Central Pkwy Ste 202
Jacksonville, FL 32224-2693
Mailing address
13990 Bartram Park Blvd Unit 2210
Jacksonville, FL 32258-5574
Phone (813) 600-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4525 S Florida Ave
Suite 25
Lakeland, FL 33813-2184
Phone (863) 812-4065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Lakeland, LLC | Current | Accepting new patients |
Locations
4525 S Florida Ave
Ste 25
Lakeland, FL 33813
Phone (863) 812-4065
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lakeland, FL
- NPI 1508378290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1417714601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13990 BARTRAM PARK BLVD UNIT 2210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585574",
"telephone_number": "813-600-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 CENTRAL PKWY STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242693",
"telephone_number": "904-296-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "CIARA",
"middle_name": "AUTUMN",
"name_prefix": "Dr.",
"credential": "OTR/L, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.