Individual provider Active NPI

Cynthia Lynn Bozik, MS,OTR

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1629268610
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15454 Issued in FL
Practice address
4630 17TH St
Sarasota, FL 34235-1843
Phone
(941) 487-5400
NPI assigned
Jul 26, 2007
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Developmental Therapist 222Q00000X
Occupational Therapist 225X00000X OT15454 FL Primary

Addresses

Primary practice location

4630 17TH St
Sarasota, FL 34235-1843

Mailing address

4630 17TH St
Sarasota, FL 34235-1843

Other practice location 1

3920 Bee Ridge Rd
Building E, Unit G
sarasota, FL 34233
Phone (908) 233-3720 ext. 5380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140328000905 FL Practitioner - Occupational Therapist in Private Practice 2769638519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert's Home Therapy, Inc. Occupational Therapist CurrentSince Jun 19, 2023 Accepting new patients
United Sports Care & Physical Therapy Occupational Therapist Past Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1629268610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Bee Ridge Rd",
            "address_2": "Building E, Unit G",
            "address_purpose": "LOCATION",
            "city": "sarasota",
            "state": "FL",
            "postal_code": "34233",
            "country_code": "US",
            "telephone_number": "908-233-3720 x5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZIK",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MS,OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.