Organization Active NPI

Mariposa Wellness LLC

  • Neurorehabilitation Occupational Therapist
  • Wimauma, FL
National Provider Identifier
1619854411
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Legal business name
MARIPOSA WELLNESS LLC
Practice address
16712 Magnolia Reserve PL
Wimauma, FL 33598-4074
Phone
(813) 503-0169
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Stefanie Perez Watson, OT
Title
Occupational Therapist
Phone
(813) 503-0169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

16712 Magnolia Reserve PL
Wimauma, FL 33598-4074

Mailing address

16712 Magnolia Reserve PL
Wimauma, FL 33598-4074
Phone (910) 420-3397

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1619854411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 MAGNOLIA RESERVE PL",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984074",
            "telephone_number": "910-420-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 MAGNOLIA RESERVE PL",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984074",
            "telephone_number": "813-503-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "813-503-0169",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.