Organization Active NPI

Waskuch Therapy Services Inc.

  • Occupational Therapist
  • Vero Beach, FL
National Provider Identifier
1568967032
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Judith WaskuchNPI 1063663557
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000601800MedicaidFL
100072500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.