Italia Nicole Alicea, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23410 Issued in FL

Practice address

113 W Chapman Rd
Oviedo, FL 32765-8895

Phone

(407) 790-5601

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Premaplay LLC

  • Occupational Therapist
  • Oviedo, FL
  • NPI 1972922821
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1730807967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14939 TWINBERRY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287332",
            "telephone_number": "808-220-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHAPMAN RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658895",
            "telephone_number": "407-790-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "ITALIA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "23410",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegiant Healthcare
• Jo Ann C Alexander, PH.D.
• Erika Alfonsi, PT, DPT
• Abiha Ali
• Abir Ali
• All About Massage, PLLC
• All Dolled Up Unisex Beauty Salon
• Stephanie P Allen
• Paul Allen Allison, M.S.
• Aloha Acupuncture Inc.

• Occupational Therapist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.