Active NPI
Colette Iwanski
- Occupational Therapist
- Seminole, FL
National Provider Identifier
1669987244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT8142
- Practice address
- 12480 Rose St Apt 4
Seminole, FL 33772-4435 - Phone
- (727) 542-7149
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | OT8142 | FL | Primary |
Addresses
Primary practice location
12480 Rose St Apt 4
Seminole, FL 33772-4435
Mailing address
12480 Rose St Apt 4
Seminole, FL 33772-4435
Phone (727) 542-7149
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1669987244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12480 ROSE ST APT 4",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724435",
"telephone_number": "727-542-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12480 ROSE ST APT 4",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724435",
"telephone_number": "727-542-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWANSKI",
"first_name": "COLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT8142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.