Janae Wood

Key facts

NPI

1639764475

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

OTA18050 (FL)

Practice address

10880 Avana Way Apt 207
Trinity, FL 34655-5085

Phone

(727) 900-1618

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1639764475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 AVANA WAY APT 207",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555085",
            "telephone_number": "727-900-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 AVANA WAY APT 207",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555085",
            "telephone_number": "727-900-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

• Christopher J Wittmann, PAC
• Craig Robert Wolff, M.D.
• Christine M Womack, ARNP-C
• Womens Care Florida LLP
• Womens Care Florida LLP
• Don Joseph Woody, DO, MS
• Workman Enterprises LLC
• Alene Jean Wright, M.D.
• Fan Wu, DO
• Ziran Yang, MD

All providers in Trinity, FL · Occupational Therapy Assistant in Florida