Jyoti Gupta
Individual provider Active NPI Occupational Therapist · Parrish, FL
NPI 1760021869 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1760021869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 11131 58TH Street Cir E
Parrish, FL 34219-4516 - Phone
- (727) 744-9588
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220104002428 | FL | Practitioner - Occupational Therapist in Private Practice | 3072904887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Pediatric Services LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
4707 140th Ave N
Ste 313
Clearwater, FL 33762
Phone (727) 223-8978
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
11131 58TH Street Cir E
Parrish, FL 34219-4516
Mailing address
11131 58TH Street Cir E
Parrish, FL 34219-4516
Phone (727) 744-9588
Other providers in Parrish, FL
- Katherine Gibran
- Tea Gjoni
- Lisa Glavin
- Jacqueline A Gomogda
- Gulf Coast ABA, Inc.
- Robert G Harb
- Kimberly Sue Harbison
- David J Harrison
- Devin Diane Hartley
- Hearing Services
All providers in Parrish, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.