Individual provider Active NPI

Nicolle Santamaria, OT

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1578108809
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14502 Issued in FL
Practice address
4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611
Phone
(954) 688-7269
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT14502 FL Primary

Addresses

Primary practice location

4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611

Mailing address

1800 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4222
Phone (727) 865-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104000829 FL Practitioner - Occupational Therapist in Private Practice 6002207982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates, LLC CurrentSince Dec 1, 2024 Accepting new patients
Florida Pediatric Associates LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 101
Boynton Beach, FL 33437
Phone (561) 732-2136

10150 Hagen Ranch Rd
Ste 100B
Boynton Beach, FL 33437

7841 Cambridge Manor Pl
Ste C
Fort Myers, FL 33907
Phone (239) 908-3593

100 SE 15th Ave
Ft Lauderdale, FL 33301
Phone (954) 607-1691

4800 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 688-7269

210 Jupiter Lakes Blvd
Bldg 3000
Jupiter, FL 33458
Phone (561) 677-4353

1971 SW 172nd Ave
Ste 3125
Miramar, FL 33029

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

26853 Foggy Creek Rd
Wesley Chapel, FL 33544
Phone (813) 972-3353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1578108809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044222",
            "telephone_number": "727-865-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084611",
            "telephone_number": "954-688-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "NICOLLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.