Active NPI
Waskuch Therapy Services Inc.
- Occupational Therapist
- Vero Beach, FL
National Provider Identifier
1568967032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- WASKUCH THERAPY SERVICES INC.
- Practice address
- 1210 Buckhead Dr SW
Vero Beach, FL 32968 - Phone
- (321) 536-3392
- Fax
- (772) 613-1917
- NPI assigned
- Mar 27, 2018
- Last updated
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Waskuch
- Title
- Otr/L
- Phone
- (321) 536-3392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | Primary | |
| Pediatric Occupational Therapist | 225XP0200X | OT13303 | FL | |
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
1210 Buckhead Dr SW
Vero Beach, FL 32968
Mailing address
1210 Buckhead Dr SW
Vero Beach, FL 32968-5088
Phone (321) 536-3392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000601800 | Medicaid | FL | |
| 100072500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1568967032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 BUCKHEAD DR SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329685088",
"telephone_number": "321-536-3392",
"fax_number": "772-613-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BUCKHEAD DR SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32968",
"telephone_number": "321-536-3392",
"fax_number": "772-613-1917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASKUCH THERAPY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "WASKUCH",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "OTR/L",
"authorized_official_telephone_number": "321-536-3392"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT13303",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000601800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100072500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.