Individual provider Active NPI

Veronica Garcia Nieves, COTA/ OTR

  • Occupational Therapist
  • Lakeland, FL
National Provider Identifier
1477859718
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24173 Issued in FL
Practice address
610 E Bella Vista St
Lakeland, FL 33805-3008
Phone
(863) 232-6433
NPI assigned
Feb 3, 2011
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OAT11578 FL
Occupational Therapist 225X00000X 24173 FL Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

610 E Bella Vista St
Lakeland, FL 33805-3008

Mailing address

241 Hamlet Rd
Davenport, FL 33837-2686
Phone (863) 232-6433

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OAT11578FLMDOccupational Therapy Assistant
24173FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Jan 2, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 2, 2024 Accepting new patients
Strength and Balance Institute Occupational Therapist CurrentSince Sep 12, 2023 Accepting new patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince Sep 12, 2023 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1477859718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HAMLET RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338372686",
            "telephone_number": "863-232-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053008",
            "telephone_number": "863-232-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA NIEVES",
        "first_name": "VERONICA",
        "credential": "COTA/ OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OAT11578",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24173",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.