Active NPI
Colena Mable Lazar
- Occupational Therapy Assistant
- Zephyrhills, FL
National Provider Identifier
1467122069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA15829
- Practice address
- 38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419 - Phone
- (813) 400-2291
- NPI assigned
- Sep 15, 2021
- Last updated
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA15829 | FL | Primary |
Addresses
Primary practice location
38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Mailing address
1204 Crystal Springs Rd
Zephyrhills, FL 33540-2363
Phone (813) 997-5910
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA15829 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1467122069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 CRYSTAL SPRINGS RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335402363",
"telephone_number": "813-997-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38130 PRETTY POND RD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401419",
"telephone_number": "813-400-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "COLENA",
"middle_name": "MABLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA15829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
- Larry M. Perich Dopa (Perich Eye Center)
- Debra Lastarria, M.D.
- Randall Lavender II
- Layne Medical Supply, Inc.
- Elizabeth Oluwaseun Layokun, APRN, FNP-C
- Thanh-Xuan Vu Le, CNM
- James Leal, DO
- Leap Into Language, Inc.
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Denise Lee, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.