Active NPI
Shayla Robinson, COTA/L
- Occupational Therapy Assistant
- Lecanto, FL
National Provider Identifier
1508649047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 19615
- Practice address
- 2333 N Brentwood Cir
Lecanto, FL 34461-8536 - Phone
- (352) 746-6600
- NPI assigned
- Aug 17, 2023
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202009847 | MI | |
| Occupational Therapy Assistant | 224Z00000X | 19615 | FL | Primary |
Addresses
Primary practice location
2333 N Brentwood Cir
Lecanto, FL 34461-8536
Mailing address
5149 N Henderson Rd
Davison, MI 48423-8513
Phone (256) 735-8553
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19615 | FL | MD | Occupational Therapy Assistant |
| 5202009847 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1508649047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5149 N HENDERSON RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484238513",
"telephone_number": "256-735-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 N BRENTWOOD CIR",
"city": "LECANTO",
"state": "FL",
"postal_code": "344618536",
"telephone_number": "352-746-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHAYLA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202009847",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "19615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
- Restore Therapy Services of Florida LLC (Restore Therapy Services of Florida Lecanto)
- Gliset Restrepo, PA-C
- Ronald Christopher Reudink, PA
- Chad Ridge
- Brenda Jean Roberts, LCSW
- Arminda Rodriguez, LCSW
- Tammy Rogers, COTA
- Sunil Rohatgi, MD
- Rosecastle of Lecanto, LLC (Rosecastle of Citrus)
- John W Rowda, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.