Liliana Mildres Labrada Dominguez, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

17948 Issued in FL

Practice address

9426 Wolcott LN
Port Richey, FL 34668-4461

Phone

(727) 992-4844

NPI assigned

Oct 3, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1497352470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 WOLCOTT LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684461",
            "telephone_number": "727-992-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 WOLCOTT LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684461",
            "telephone_number": "727-992-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADA DOMINGUEZ",
        "first_name": "LILIANA",
        "middle_name": "MILDRES",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7279924844",
            "affiliation": "N",
            "address_1": "9426 Wolcott Ln",
            "city": "Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346684461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapy Assistant in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.