Emmanuel Salvador Bautista Molina, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005053A Issued in IN

Practice address

1265 S Semoran Blvd
Suite 1221
Winter Park, FL 32792-5527

Phone

(407) 681-2999

NPI assigned

Jan 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Emmanuel Salvador Bautista Molina Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102

  Occupational Therapist

  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1699006767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N VERMILION ST",
            "address_2": "APARTMENT 217",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321739",
            "telephone_number": "815-295-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S SEMORAN BLVD",
            "address_2": "SUITE 1221",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925527",
            "telephone_number": "407-681-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "EMMANUEL SALVADOR",
        "middle_name": "BAUTISTA",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008165",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMANUEL SALVADOR",
            "last_name": "MOLINA",
            "middle_name": "BAUTISTA",
            "prefix": "MR.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mohammad a Latif PA
• Mohammad a. Latif M.D.
• Serena Rose Moitozo
• Dan Moldoveanu, M.D.
• Angelica Molina
• Gina P Molina
• Elizabeth Lena Molnar
• David C. Molthrop Jr., M.D.
• Jeanne Moman, MSW
• John Patrick Monaghan, A.P.

• Occupational Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.