Active NPI
Carmen Pellot
- Pediatric Occupational Therapist
- Plantation, FL
National Provider Identifier
1538567433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTA11476
- Practice address
- 1161 SW 45TH Ave
Plantation, FL 33317-4816 - Phone
- (786) 973-0556
- NPI assigned
- Dec 9, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTA11476 | FL | Primary |
Addresses
Primary practice location
1161 SW 45TH Ave
Plantation, FL 33317-4816
Mailing address
1161 SW 45TH Ave
Plantation, FL 33317-4816
Phone (786) 973-0556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA11476 | Other | FL | CMS |
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 |
|---|---|---|---|
| OTA11476 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1538567433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 SW 45TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174816",
"telephone_number": "786-973-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 SW 45TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174816",
"telephone_number": "786-973-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLOT",
"first_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OTA11476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "OTA11476",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.