Active NPI
Kara Alyssa Abbot- Mateo, MS, OTR/L
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1578021879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17061
- Practice address
- 10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426 - Phone
- (800) 434-4686
- NPI assigned
- Mar 5, 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 Therapist | 225X00000X | 17061 | FL | Primary |
Addresses
Primary practice location
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Mailing address
10014 N Dale Mabry Hwy Ste C-100
Tampa, FL 33618-4426
Phone (800) 434-4686
Other practice location 1
2119 10th Ave N
Lake Worth, FL 33461-3345
Phone (561) 629-6882
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17061 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1578021879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 N DALE MABRY HWY STE C-100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184426",
"telephone_number": "800-434-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10014 N DALE MABRY HWY STE C-100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184426",
"telephone_number": "800-434-4686"
}
],
"practiceLocations": [
{
"address_1": "2119 10th Ave N",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334613345",
"country_code": "US",
"telephone_number": "561-629-6882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBOT- MATEO",
"first_name": "KARA",
"middle_name": "ALYSSA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "17061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.