Toni Rose Derequito, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT23756 Issued in FL

Practice address

901 Clark St
Oviedo, FL 32765-7378

Phone

(407) 359-5693

NPI assigned

Mar 14, 2018

Reactivated

Apr 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Speak Easy Solutions, LLC.

  • Speech-Language Pathologist
  • Oviedo, FL
  • NPI 1861661019

  Occupational Therapist

  Medicare reassignment NPD
• First Words Speech Therapy LLC

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1407265358

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1477056653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CLARK ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657378",
            "telephone_number": "407-359-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CLARK ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657378",
            "telephone_number": "407-359-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 Wading Waters Cir",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923166",
            "country_code": "US",
            "telephone_number": "407-920-5634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEREQUITO",
        "first_name": "TONI ROSE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-29",
        "deactivation_date": "2023-04-14",
        "reactivation_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15765",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Anne Delisser-Taub, MA, SLP
• Ann Delman, DMD
• Demetree Chiropractic Group, Inc.
• David Arthur Demetree Jr., DC
• Simone B Demiar
• Dermatology and Skin Cancer Surgery Center, LLC
• Dermatology and Skin Cancer Surgery Center, LLC
• Descheneaux Eyecare LLC
• Kale Dewey
• Thyra Kristin Dewey, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.