Individual provider Active NPI

Lizabelle Ortiz Cruz, OTL/R

  • Occupational Therapist
  • Pinellas Park, FL
National Provider Identifier
1750481230
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6356 Issued in FL
Practice address
10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336
Phone
(727) 547-8600
Fax
(727) 548-6131
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT6356 FL Primary

Addresses

Primary practice location

10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336

Mailing address

PO Box 236
Pinellas Park, FL 33780-0236
Phone (727) 542-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000029 FL Practitioner - Occupational Therapist in Private Practice 5799705042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Rehab Intervention IncGroup PAC ID 4486757424, 2 clinicians

Practice addresses (Care Compare)

10707 66TH St N
Suite 14
Pinellas Park, FL 33782-2336
Phone (727) 547-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Rehab Intervention Inc Occupational Therapist CurrentSince Jan 1, 2007 Accepting new patients
Therapeutic Interventions of West Florida Inc PastSince Apr 6, 2010 Accepting new patients
Rehab Therapy Outcomes LLC Past Accepting new patients

Locations

10707 66th St N
Ste 14
Pinellas Park, FL 33782
Phone (727) 542-3580

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1750481230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337800236",
            "telephone_number": "727-542-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE 14",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822336",
            "telephone_number": "727-547-8600",
            "fax_number": "727-548-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LIZABELLE",
        "middle_name": "ORTIZ",
        "name_prefix": "Miss",
        "credential": "OTL/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT6356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.