Active NPI
Joan Maria Kasdagly, OTA
- Occupational Therapy Assistant
- Lauderhill, FL
National Provider Identifier
1700654530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA15105
- Practice address
- 5500 NW 69TH Ave Apt 115
Lauderhill, FL 33319-7267 - Phone
- (954) 440-2696
- Fax
- (954) 533-4841
- NPI assigned
- Dec 12, 2023
- 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 Therapy Assistant | 224Z00000X | OTA15105 | FL | Primary |
Addresses
Primary practice location
5500 NW 69TH Ave Apt 115
Lauderhill, FL 33319-7267
Mailing address
1598 SW 191St Ter
Pembroke Pines, FL 33029-6162
Phone (954) 298-4030
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 |
|---|---|---|---|
| OTA15105 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapeutic Care, LLC | Past | Accepting new patients | |
| Flaco Holdings Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
- Physical Therapy Clinic/Center
- Parkland, FL
- NPI 1821229824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1700654530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1598 SW 191ST TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330296162",
"telephone_number": "954-298-4030",
"fax_number": "954-533-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 NW 69TH AVE APT 115",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333197267",
"telephone_number": "954-440-2696",
"fax_number": "954-533-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASDAGLY",
"first_name": "JOAN",
"middle_name": "MARIA",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA15105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.