Active NPI
Lisa J Vinson, COTA
- Occupational Therapy Assistant
- Tampa, FL
National Provider Identifier
1639418700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA6981
- Practice address
- 2780 E Fowler Ave
Suite 405
Tampa, FL 33612-6297 - Phone
- (813) 310-2105
- Fax
- (813) 703-6280
- NPI assigned
- Feb 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA6981 | FL | Primary |
Addresses
Primary practice location
2780 E Fowler Ave
Suite 405
Tampa, FL 33612-6297
Mailing address
PO Box 4249
Brandon, FL 33509-4249
Phone (813) 310-2105
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 |
|---|---|---|---|
| OTA6981 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1639418700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4249",
"city": "BRANDON",
"state": "FL",
"postal_code": "335094249",
"telephone_number": "813-310-2105",
"fax_number": "813-703-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 E FOWLER AVE",
"address_2": "SUITE 405",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126297",
"telephone_number": "813-310-2105",
"fax_number": "813-703-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "LISA",
"middle_name": "J",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA6981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.