Individual provider Active NPI

Zachary Brook Bouder Pindar, OTR/L

  • Occupational Therapist
  • Winter Garden, FL
National Provider Identifier
1801399159
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19080 Issued in FL
Practice address
1297 Winter Garden Vineland Rd # 112
Winter Garden, FL 34787-6706
Phone
(407) 852-3300
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 19080 FL Primary

Addresses

Primary practice location

1297 Winter Garden Vineland Rd # 112
Winter Garden, FL 34787-6706

Mailing address

4865 Cypress Woods Dr Apt 2107
Orlando, FL 32811-3763
Phone (845) 826-0705

Other names 1

  • Zachary B Pindar Other name

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
19080FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1801399159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 CYPRESS WOODS DR APT 2107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113763",
            "telephone_number": "845-826-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 WINTER GARDEN VINELAND RD # 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876706",
            "telephone_number": "407-852-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDAR",
        "first_name": "ZACHARY",
        "middle_name": "BROOK BOUDER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY",
            "last_name": "PINDAR",
            "middle_name": "B",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 13, 2018; 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.