Active NPI
Carmen Renee Guidera, OTD, OTR/L
- Occupational Therapist
- Palm Harbor, FL
National Provider Identifier
1710251095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14221
- Practice address
- 2471 Clubside CT
511
Palm Harbor, FL 34683-1757 - Phone
- (419) 302-1167
- NPI assigned
- Mar 3, 2012
- 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 Therapist | 225X00000X | OT14221 | FL | Primary |
Addresses
Primary practice location
2471 Clubside CT
511
Palm Harbor, FL 34683-1757
Mailing address
2471 Clubside CT
511
Palm Harbor, FL 34683-1757
Phone (419) 302-1167
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 |
|---|---|---|---|
| OT14221 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330732800000",
"number": "1710251095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 CLUBSIDE CT",
"address_2": "511",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831757",
"telephone_number": "419-302-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 CLUBSIDE CT",
"address_2": "511",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831757",
"telephone_number": "419-302-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDERA",
"first_name": "CARMEN",
"middle_name": "RENEE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-03",
"last_updated": "2012-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.