Daven Icao, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12056 Issued in FL

Practice address

1061 Virginia St
Dunedin, FL 34698-7326

Phone

(727) 733-4189

NPI assigned

Oct 25, 2015

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

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": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445731200000",
    "number": "1700258118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 NURSERY RD APT 321",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337642622",
            "telephone_number": "386-490-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987326",
            "telephone_number": "727-733-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICAO",
        "first_name": "DAVEN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hutchings
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• Natalie Iafe
• Carolyn Maria Ibrahim Pavlich, RDN
• Ester Ibrahim
• Alan Y Ickowitz, PSY.D.
• Rachel Ikensaa, DPT
• Infectious Disease Physicians
• Inspired Senior Living of Dunedin Mt, LLC
• Invicta Park Place LLC

• Occupational Therapy Assistant in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; 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.