Individual provider Active NPI

Malique Centeio, COTA/L

  • Occupational Therapy Assistant
  • Orlando, FL
National Provider Identifier
1538065776
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
20741 Issued in FL
Practice address
6100 Lake Ellenor Dr Ste 261
Orlando, FL 32809-4638
Phone
(407) 968-7807
NPI assigned
Oct 15, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 20741 FL Primary

Addresses

Primary practice location

6100 Lake Ellenor Dr Ste 261
Orlando, FL 32809-4638

Mailing address

148 Briarcliff Dr
Poinciana, FL 34758-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1538065776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BRIARCLIFF DR",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347584112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DR STE 261",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094638",
            "telephone_number": "407-968-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTEIO",
        "first_name": "MALIQUE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "20741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.