Individual provider Active NPI

Julie Marie Lamielle, COTA

  • Occupational Therapy Assistant
  • Palmetto, FL
National Provider Identifier
1790940534
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 10308 Issued in FL
Practice address
410 10TH Ave W
Palmetto, FL 34221-5032
Phone
(941) 722-3582
Fax
(941) 729-8322
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 10308 FL Primary

Addresses

Primary practice location

410 10TH Ave W
Palmetto, FL 34221-5032

Mailing address

4530 Shadow Leaf Drive
Sarasota, FL 34233-0000
Phone (941) 378-3137

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
OTA 10308FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1790940534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SHADOW LEAF DRIVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342330000",
            "telephone_number": "941-378-3137",
            "fax_number": "941-729-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 10TH AVE W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215032",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIELLE",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.