Individual provider Active NPI

Robin Boornazian, COTA/L, CPT

  • Occupational Therapy Assistant
  • Orlando, FL
National Provider Identifier
1427423243
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA13660 Issued in FL
Practice address
9660 Piccadilly Sky Way
Orlando, FL 32827-5756
Phone
(407) 412-6450
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA13660 FL Primary

Addresses

Primary practice location

9660 Piccadilly Sky Way
Orlando, FL 32827-5756

Mailing address

9660 Piccadilly Sky Way
Orlando, FL 32827-5756
Phone (407) 412-6450

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

LicenseStateTypeSpecialty
OTA13660FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1427423243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 PICCADILLY SKY WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275756",
            "telephone_number": "407-412-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 PICCADILLY SKY WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275756",
            "telephone_number": "407-412-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORNAZIAN",
        "first_name": "ROBIN",
        "credential": "COTA/L, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.