Individual provider Active NPI

Caryn Rollo

  • Occupational Therapist
  • Lauderhill, FL
National Provider Identifier
1477811008
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15027 Issued in FL
Practice address
7962 NW 51St CT
Lauderhill, FL 33351-5012
Phone
(954) 548-4176
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT15027 FL
Occupational Therapist 225X00000X OT15027 FL Primary

Addresses

Primary practice location

7962 NW 51St CT
Lauderhill, FL 33351-5012

Mailing address

7962 NW 51St CT
Lauderhill, FL 33351-5012
Phone (954) 548-4176

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

LicenseStateTypeSpecialty
OT15027FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaked Physique LLC Occupational Therapist CurrentSince Oct 30, 2022 Accepting new patients
Caryn Ruth Weissblatt Motr/L PA Occupational Therapist PastSince Oct 30, 2022 Accepting new patients

Organizations & group practices 2

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1477811008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7962 NW 51ST CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515012",
            "telephone_number": "954-548-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7962 NW 51ST CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515012",
            "telephone_number": "954-548-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLO",
        "first_name": "CARYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT15027",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.