Nicole Cruz, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11107 Issued in FL

Practice address

14031 Del Webb Blvd
Summerfield, FL 34491-7957

Phone

(352) 433-0091

Fax

(352) 433-0676

NPI assigned

Aug 4, 2006

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Therapies Group IncGroup PAC ID 2769549104, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.38

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovative Therapies Group Inc

  • Occupational Therapist
  • Lady Lake, FL
  • NPI 1174768360
  Medicare reassignment Care Compare group NPD
• Innovative Therapies Group Inc

  • Hand Occupational Therapist
  • Wildwood, FL
  • NPI 1982430658
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1437167285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4559",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784559",
            "telephone_number": "727-643-8478",
            "fax_number": "352-433-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 DEL WEBB BLVD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344917957",
            "telephone_number": "352-433-0091",
            "fax_number": "352-433-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N US Highway 441 Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321593002",
            "country_code": "US",
            "telephone_number": "352-433-0091 x1",
            "fax_number": "352-433-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 SW College Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344744430",
            "country_code": "US",
            "telephone_number": "352-433-0091 x1",
            "fax_number": "352-433-0676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Care Medical Equipment & Uniforms, Inc (Active Home Medical)
• Comfortable Care Dental Health Professionals, P.a. (Summerfield Dental Care)
• Alba R Cordero Sanz
• Cosmet Enterprise LLC (Magnolia Dental)
• Crown Medical Solutions, LLC
• Csi Nurse World, Inc. (Help at Home)
• Kellyann Curnayn, DNP, APRN-BC
• Margo Dandreano, LM, CPM
• Uyen K. Dao, D.P.M
• Ashley Ellis Davis, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.

Verify at the official NPI Registry.