Active NPI
Ashley Perez, COTA/L
- Occupational Therapy Assistant
- Panama City, FL
National Provider Identifier
1467847137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA13994
- Practice address
- 626 N Tyndall Pkwy
Panama City, FL 32404-6132 - Phone
- (850) 871-6363
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
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 | OTA13994 | FL | Primary |
Addresses
Primary practice location
626 N Tyndall Pkwy
Panama City, FL 32404-6132
Mailing address
PO Box 96
166 Julio Rd
Greensboro, FL 32330
Phone (850) 556-5870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7548120362 | Medicaid | FL |
Other names 1
- Ashley Flores
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 |
|---|---|---|---|
| OTA13994 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1467847137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"address_2": "166 JULIO RD",
"city": "GREENSBORO",
"state": "FL",
"postal_code": "32330",
"telephone_number": "850-556-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 N TYNDALL PKWY",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324046132",
"telephone_number": "850-871-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ASHLEY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA13994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7548120362",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "FLORES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.