Active NPI
Nicole Renee Quint, OTRL 10954
- Occupational Therapist
- Tamarac, FL
National Provider Identifier
1528029824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTRL 10954
- Practice address
- 4568 NW 17TH Avenue
Tamarac, FL 33309-3701 - Phone
- (954) 772-2468
- Fax
- (954) 772-2468
- NPI assigned
- Mar 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTRL 10954 | FL | Primary |
Addresses
Primary practice location
4568 NW 17TH Avenue
Tamarac, FL 33309-3701
Mailing address
PO Box 290370
Ft Lauderdale, FL 33329-0370
Phone (954) 262-4346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889980100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTRL 10954 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Occupational Therapist | Past | Accepting new patients |
| Nova Southeastern University, Inc | Occupational Therapist | Past | Accepting new patients |
| Nova Southeastern University, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Davie, FL
- NPI 1770722282
Occupational Therapist
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- General Practice Dentistry
- Davie, FL
- NPI 1811288012
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1528029824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4346",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 NW 17TH AVENUE",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093701",
"telephone_number": "954-772-2468",
"fax_number": "954-772-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINT",
"first_name": "NICOLE",
"middle_name": "RENEE",
"credential": "OTRL 10954",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OTRL 10954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889980100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.