Active NPI
Krysta Pazos
- Occupational Therapy Assistant
- Rockledge, FL
National Provider Identifier
1508799560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA20597
- Practice address
- 107 Longwood Ave
Rockledge, FL 32955-2827 - Phone
- (321) 338-2419
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA20597 | FL | Primary |
Addresses
Primary practice location
107 Longwood Ave
Rockledge, FL 32955-2827
Mailing address
107 Longwood Ave
Rockledge, FL 32955-2827
Phone (321) 338-2419
Other practice location 1
1071 Port Malabar Blvd NE Ste 206
Palm Bay, FL 32905-5161
Phone (321) 338-2419
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1508799560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552827",
"telephone_number": "321-338-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552827",
"telephone_number": "321-338-2419"
}
],
"practiceLocations": [
{
"address_1": "1071 Port Malabar Blvd NE Ste 206",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329055161",
"country_code": "US",
"telephone_number": "321-338-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAZOS",
"first_name": "KRYSTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA20597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
- Tobi Lea Patrick, MD
- Shianna Pattern
- Sarah Marie Patterson, RN, IBCLC
- Shawnna Lee Patterson, M.D., PH.D.
- Monet Johnson Payne, MA, CCC-SLP
- Pediatrics in Brevard, P.a.
- Pediatrics in Brevard, P.a.
- Pelican Harbour Assisted Living Facility LLC
- Pelican Harbour Assisted Living II LLC
- Katrina Lynne Pellegrini, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.