Active NPI
Vanessa Garay
- Physical Rehabilitation Occupational Therapist
- Avon Park, FL
National Provider Identifier
1609445493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OTA12407
- Practice address
- 1010 US 27 N
Avon Park, FL 33825-2556 - Phone
- (863) 453-5200
- NPI assigned
- Jun 24, 2021
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OTA12407 | FL | Primary |
Addresses
Primary practice location
1010 US 27 N
Avon Park, FL 33825-2556
Mailing address
1010 US 27 N
Avon Park, FL 33825-2556
Other practice location 1
2600 Compass Rd
Glenview, IL 60026-8001
Phone (813) 361-4688
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 |
|---|---|---|---|
| OTA12407 | FL | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1609445493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 US 27 N",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338252556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 US 27 N",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338252556",
"telephone_number": "863-453-5200"
}
],
"practiceLocations": [
{
"address_1": "2600 Compass Rd",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600268001",
"country_code": "US",
"telephone_number": "813-361-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARAY",
"first_name": "VANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OTA12407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.