Individual provider Active NPI

Ana Shor Tawil, OTR

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1487428579
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24730 Issued in FL
Practice address
7723 Villa Nova Dr
Boca Raton, FL 33433-1026
Phone
(310) 497-4792
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X
Gerontology Occupational Therapist 225XG0600X
Physical Rehabilitation Occupational Therapist 225XP0019X
Occupational Therapist 225X00000X 24730 FL Primary

Addresses

Primary practice location

7723 Villa Nova Dr
Boca Raton, FL 33433-1026

Mailing address

7723 Villa Nova Dr
Boca Raton, FL 33433-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105004178 FL Practitioner - Occupational Therapist in Private Practice 6305297060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yk Physical Therapy Inc.Group PAC ID 1153727979, 2 clinicians

Practice addresses (Care Compare)

220 S Dixie Hwy
Suite 4
Lake Worth, FL 33460-4153
Phone (561) 666-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24730FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yk Physical Therapy Inc CurrentSince Oct 28, 2023 Accepting new patients

Locations

1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544

220 S Dixie Hwy
Ste 4
Lake Worth Beach, FL 33460
Phone (561) 429-5086

Organizations & group practices 1

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1487428579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 VILLA NOVA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 VILLA NOVA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331026",
            "telephone_number": "310-497-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOR TAWIL",
        "first_name": "ANA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.