Active NPI
Nicola Fitzgerald
- Occupational Therapist
- Clearwater, FL
National Provider Identifier
1649528928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 7109
- Practice address
- 2535 Cypress Bend Dr W
Clearwater, FL 33761-3815 - Phone
- (727) 638-2367
- NPI assigned
- Aug 17, 2012
- 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 Therapist | 225X00000X | OT 7109 | FL | Primary |
Addresses
Primary practice location
2535 Cypress Bend Dr W
Clearwater, FL 33761-3815
Mailing address
2535 Cypress Bend Dr W
Clearwater, FL 33761-3815
Phone (727) 638-2367
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 |
|---|---|---|---|
| OT 7109 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1649528928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 CYPRESS BEND DR W",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613815",
"telephone_number": "727-638-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 CYPRESS BEND DR W",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613815",
"telephone_number": "727-638-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "NICOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-17",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 7109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.