Active NPI
Toisalon Teria Bing, COTA
- Occupational Therapy Assistant
- Winter Haven, FL
National Provider Identifier
1548823990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA13632
- Practice address
- 150 Avenue B SE
Winter Haven, FL 33880-3037 - Phone
- (863) 294-1429
- NPI assigned
- Apr 20, 2019
- Last updated
- Apr 20, 2019
- 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 Therapy Assistant | 224Z00000X | OTA13632 | FL | Primary |
Addresses
Primary practice location
150 Avenue B SE
Winter Haven, FL 33880-3037
Mailing address
5443 Yarborough LN
Lakeland, FL 33812-4166
Phone (863) 937-2823
Other practice location 1
2055 E Georgia St
Bartow, FL 33830-6710
Phone (863) 533-0578
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 |
|---|---|---|---|
| OTA13632 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555718400000",
"number": "1548823990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5443 YARBOROUGH LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338124166",
"telephone_number": "863-937-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 AVENUE B SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803037",
"telephone_number": "863-294-1429"
}
],
"practiceLocations": [
{
"address_1": "2055 E Georgia St",
"address_purpose": "LOCATION",
"city": "Bartow",
"state": "FL",
"postal_code": "338306710",
"country_code": "US",
"telephone_number": "863-533-0578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BING",
"first_name": "TOISALON",
"middle_name": "TERIA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-20",
"last_updated": "2019-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA13632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.