Active NPI
Laurel L Baxla, OTRL
- Pediatric Occupational Therapist
- Ocala, FL
National Provider Identifier
1801954862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-8330
- Practice address
- 425 SW 14TH St
Ocala, FL 34474-3215 - Phone
- (352) 351-8300
- Fax
- (352) 351-8310
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-8330 | FL | Primary |
Addresses
Primary practice location
425 SW 14TH St
Ocala, FL 34474-3215
Mailing address
425 SW 14TH St
Ocala, FL 34474-3215
Phone (352) 351-8300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR77413160002 | Other | FL | CIGNA PROVIDER # |
| SG083062 | Other | FL | VISTA HEALTHPLAN PROV # |
| Z0614 | Other | FL | BCBS NON-PAR PROV # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-8330 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidspot Therapy, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801954862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 SW 14TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344743215",
"telephone_number": "352-351-8300",
"fax_number": "352-351-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 SW 14TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344743215",
"telephone_number": "352-351-8300",
"fax_number": "352-351-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLA",
"first_name": "LAUREL",
"middle_name": "L",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT-8330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "PR77413160002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA HEALTHPLAN PROV #",
"identifier": "SG083062",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NON-PAR PROV #",
"identifier": "Z0614",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.