Active NPI
Trinity Pelayo
- Occupational Therapist
- Maitland, FL
National Provider Identifier
1811035629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 630 N Maitland Ave
Maitland, FL 32751-4423 - Phone
- (407) 539-2488
- Fax
- (407) 539-2408
- NPI assigned
- Feb 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT9757 | FL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
630 N Maitland Ave
Maitland, FL 32751-4423
Mailing address
3803 101St Ave E
Parrish, FL 34219-2009
Phone (941) 744-6279
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9757 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1811035629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 101ST AVE E",
"city": "PARRISH",
"state": "FL",
"postal_code": "342192009",
"telephone_number": "941-744-6279",
"fax_number": "317-708-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N MAITLAND AVE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514423",
"telephone_number": "407-539-2488",
"fax_number": "407-539-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAYO",
"first_name": "TRINITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2021-03-19",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OT9757",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.