Active NPI
Jeffany Cepeda, COTA
- Occupational Therapy Assistant
- West Palm Beach, FL
National Provider Identifier
1578043048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16715
- Practice address
- 5654 Cinnamon Dr
West Palm Beach, FL 33415-6322 - Phone
- (561) 460-0625
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 16715 | FL | Primary |
Addresses
Primary practice location
5654 Cinnamon Dr
West Palm Beach, FL 33415-6322
Mailing address
5654 Cinnamon Dr
West Palm Beach, FL 33415-6322
Phone (561) 460-0625
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 |
|---|---|---|---|
| 16715 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1578043048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5654 CINNAMON DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156322",
"telephone_number": "561-460-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5654 CINNAMON DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156322",
"telephone_number": "561-460-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPEDA",
"first_name": "JEFFANY",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "16715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Central Palm Beach Surgery Center, L.T.D.
- Centro Medico Latino Americano de West Palm Beach Corp
- Centrum Medical Holdings of West Palm Beach
- Centrum Medical Holdings of West Palm Beach
- Century Physical Therapy, LLC
- Odalys Yanet Cepero Quintana, RBT
- Danisa Cepero
- Tiffany Emily Cerda, DPM
- Daniel Cerquera, ATC
- Certified Foot & Ankle Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.