Individual provider Active NPI

Tiffanie Warzecha, OTR

  • Pediatric Occupational Therapist
  • Melbourne, FL
National Provider Identifier
1588968671
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT23699 Issued in FL
Practice address
4450 W Eau Gallie Blvd
Melbourne, FL 32934-7213
Phone
(321) 255-6627
NPI assigned
Jan 4, 2011
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 14442 FL
Pediatric Occupational Therapist 225XP0200X OT23699 FL Primary

Addresses

Primary practice location

4450 W Eau Gallie Blvd
Melbourne, FL 32934-7213

Mailing address

469 Bimini LN
Indian Harbour Beach, FL 32937-4410
Phone (812) 589-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229001805 FL Practitioner - Occupational Therapist in Private Practice 0446746598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor of Womens Health LLCGroup PAC ID 6305187998, 7 clinicians

Practice addresses (Care Compare)

65 E Nasa Blvd
Suite 101
Melbourne, FL 32901-1961
Phone (321) 802-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 14442FLMDPediatric Occupational Therapist
OT23699FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor of Women's Health LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

65 E Nasa Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 541-1970

Organizations & group practices 1

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1588968671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 BIMINI LN",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374410",
            "telephone_number": "812-589-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347213",
            "telephone_number": "321-255-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARZECHA",
        "first_name": "TIFFANIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 14442",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT23699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.