Individual provider Active NPI

Suzanne Elise Defrank, OTA

  • Occupational Therapy Assistant
  • Hollywood, FL
National Provider Identifier
1497082457
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA11031 Issued in FL
Practice address
1 Oakwood Blvd Ste 130
Hollywood, FL 33020-1937
Phone
(954) 925-3844
Fax
(954) 925-3845
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA11031 FL Primary

Addresses

Primary practice location

1 Oakwood Blvd Ste 130
Hollywood, FL 33020-1937

Mailing address

530 NE 47TH St Apt 202
Boca Raton, FL 33431-5149

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
OTA11031FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1497082457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE 47TH ST APT 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD STE 130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201937",
            "telephone_number": "954-925-3844",
            "fax_number": "954-925-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANK",
        "first_name": "SUZANNE",
        "middle_name": "ELISE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.