Roger A. Tabatt

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

83152 Issued in FL

Practice address

13800 Veterans Way
Orlando, FL 32827-7401

Phone

(407) 631-6031

NPI assigned

Oct 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1679172332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "407-631-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "407-631-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATT",
        "first_name": "ROGER",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "FL",
            "license": "83152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTRC",
            "identifier": "83152",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "CPRS/VISTA",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Documentation System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13800 Veterans Way",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328277401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• T3L, LLC
• Phoenix Ta, APRN
• Kathleen Elizabeth Tabaka, A.R.N.P.
• Nepthali Titus Tabancura, P.T.
• Wennie Mae Ormido Tabancura, RPT
• Shadi Tabba
• Allan Tablan
• Claudia D Taboada, DO
• Sterling Tabon, MSPH
• Caitlyn Tabor, M.A. CCC-SLP

• Recreation Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Recreation Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.