Active NPI
Katie Puntillo
- Pediatric Occupational Therapist
- Tampa, FL
National Provider Identifier
1609533322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT19511
- Practice address
- 1904 S Macdill Ave
Tampa, FL 33629-5903 - Phone
- (727) 534-9085
- NPI assigned
- Nov 17, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT19511 | FL | Primary |
Addresses
Primary practice location
1904 S Macdill Ave
Tampa, FL 33629-5903
Mailing address
11107 Bloomington Dr
Tampa, FL 33635-1521
Phone (727) 534-9085
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 |
|---|---|---|---|
| OT19511 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow and Play Pediatric Therapy | Pediatrics | Current | Accepting new patients |
Locations
1904 S Macdill Ave
Tampa, FL 33629
Phone (727) 534-9085
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 and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Tampa, FL
- NPI 1700573524
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1609533322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11107 BLOOMINGTON DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336351521",
"telephone_number": "727-534-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 S MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295903",
"telephone_number": "727-534-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNTILLO",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT19511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.