Individual provider Active NPI

Janice Louise Wooten, OTR

  • Occupational Therapist
  • Winter Garden, FL
National Provider Identifier
1770537359
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-499 Issued in FL
Practice address
301 S West Crown Point Rd Ste 150
Winter Garden, FL 34787-2917
Phone
(407) 905-8908
Fax
(407) 905-8958
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 OT-499 FL Primary

Addresses

Primary practice location

301 S West Crown Point Rd Ste 150
Winter Garden, FL 34787-2917

Mailing address

4814 Wingrove Blvd
Orlando, FL 32819-3346
Phone (407) 298-0684

Other identifiers 2

IdentifierTypeStateIssuer
812290300MedicaidFL
884790800MedicaidFL

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

LicenseStateTypeSpecialty
OT-499FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Services of Greater Orlando, LLC Occupational Therapist CurrentSince May 26, 2024 Accepting new patients
Kids Connection Therapy LLC Occupational Therapist Past Accepting new patients

Locations

886 S Dillard St
Winter Garden, FL 34787
Phone (407) 399-7233

301 S West Crown Point Rd
Ste 150
Winter Garden, FL 34787
Phone (407) 491-3825

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1770537359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 WINGROVE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193346",
            "telephone_number": "407-298-0684",
            "fax_number": "407-905-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WEST CROWN POINT RD STE 150",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872917",
            "telephone_number": "407-905-8908",
            "fax_number": "407-905-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "JANICE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812290300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884790800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.