Individual provider Active NPI

Jasmin Aquino Dela Cruz

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1457122475
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13175 Issued in FL
Practice address
10548 Cabbage Tree Loop
Orlando, FL 32825-8870
Phone
(407) 729-2121
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 OT13175 FL Primary

Addresses

Primary practice location

10548 Cabbage Tree Loop
Orlando, FL 32825-8870

Mailing address

10548 Cabbage Tree Loop
Orlando, FL 32825-8870
Phone (407) 729-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120003850 FL Practitioner - Occupational Therapist in Private Practice 9133611809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Rehabilitation PLLCGroup PAC ID 4688096027, 5 clinicians

Practice addresses (Care Compare)

Sanford, FL 32771
Phone (678) 469-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT13175FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehabilitation PLLC Occupational Therapist CurrentSince Sep 11, 2025 Accepting new patients

Locations

755 Monroe Rd
Unit 470738
Lake Monroe, FL 32747
Phone (678) 469-5003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1457122475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10548 CABBAGE TREE LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258870",
            "telephone_number": "407-729-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10548 CABBAGE TREE LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258870",
            "telephone_number": "407-729-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "JASMIN",
        "middle_name": "AQUINO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13175",
            "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 Jan 9, 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.

Verify at the official NPI Registry.