Active NPI
John Pasquale, OTR/L
- Occupational Therapist
- Indiantown, FL
National Provider Identifier
1710130273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15292
- Practice address
- 15440 SW Palm Drive
Indiantown, FL 34956 - Phone
- (845) 665-1918
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 15, 2019
- Sex
- Male
- 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 | 15292 | FL | Primary |
Addresses
Primary practice location
15440 SW Palm Drive
Indiantown, FL 34956
Mailing address
15440 SW Palm Drive
Indiantown, FL 34956
Phone (845) 665-1918
Other practice location 1
226 Old Route 17
Livingston Manor, NY 12758-5536
Phone (845) 665-1918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jptherapy226@yahoo.com |
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 |
|---|---|---|---|
| 15292 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1710130273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15440 SW PALM DRIVE",
"city": "INDIANTOWN",
"state": "FL",
"postal_code": "34956",
"telephone_number": "845-665-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15440 SW PALM DRIVE",
"city": "INDIANTOWN",
"state": "FL",
"postal_code": "34956",
"telephone_number": "845-665-1918"
}
],
"practiceLocations": [
{
"address_1": "226 Old Route 17",
"address_purpose": "LOCATION",
"city": "Livingston Manor",
"state": "NY",
"postal_code": "127585536",
"country_code": "US",
"telephone_number": "845-665-1918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASQUALE",
"first_name": "JOHN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "15292",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jptherapy226@yahoo.com",
"affiliation": "N",
"address_1": "15440 SW Palm Drive",
"city": "Indiantown",
"state": "FL",
"country_code": "US",
"postal_code": "34956",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indiantown, FL
- Stephanie Marie Molina, PH.D.
- Carlos A. Morales, D.D.S.
- Maria Isabel Moreno Cembrero
- Candy Edith Pagan, BA
- Alicia B. Pajares, LCSW
- Tisha Alecia Patten, NP-C, ARNP
- Physical Therapy Internet P.a. (Physical Therapy of Indiantown)
- Kimberli Vonkey Pittman
- Precision Psychiatric Care LLC
- Maxine Reeves Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.