Individual provider Active NPI

Victoria Llana

  • Occupational Therapist
  • Bradenton, FL
National Provider Identifier
1457116493
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24997 Issued in FL
Practice address
11160 Vida Cir Unit 105
Bradenton, FL 34211-2863
Phone
(786) 252-9844
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT24997 FL Primary

Addresses

Primary practice location

11160 Vida Cir Unit 105
Bradenton, FL 34211-2863

Mailing address

11160 Vida Cir Unit 105
Bradenton, FL 34211-2863
Phone (786) 252-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613002505 FL Practitioner - Occupational Therapist in Private Practice 2961913256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. Current Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Apr 10, 2025 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Apr 10, 2025 Accepting new patients
Little Tides Therapy LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

2318 Greenbranch Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 738-9680

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1457116493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 VIDA CIR UNIT 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112863",
            "telephone_number": "786-252-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VIDA CIR UNIT 105",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112863",
            "telephone_number": "786-252-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANA",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.