Tara Cunningham, MOT, OTR/L, ATP

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OT12269 Issued in FL

Practice address

2420 Hoffner Ave
Belle Isle, FL 32809-3538

Phone

(386) 679-5450

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508385287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HOFFNER AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328093538",
            "telephone_number": "386-679-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 HOFFNER AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328093538",
            "telephone_number": "386-679-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L, ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT12269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE NUMBER",
            "identifier": "OT12269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Elizabeth Bergman, APRN
• Kathleen Janel Buckley
• Tiffany Cary, MA CCC-SLP
• Dawn Curtis
• Lauren Day, APRN
• Empirical Pediatric Therapy LLC
• Full Motion Orthopaedics & Wellness Center
• Rikkisha Gilmore-Byrd, DRPH, CHES

• Neurorehabilitation Occupational Therapist in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Neurorehabilitation Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.