Outreach Therapy Association, LLC.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

OUTREACH THERAPY ASSOCIATION, LLC.

Practice address

77 Coconut Dr
Key Largo, FL 33037-2523

Phone

(804) 514-0604

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Allison M Struder, COTA/L

Title

Cota/L

Phone

(804) 514-0604

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1811544463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 COCONUT DR",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372523",
            "telephone_number": "804-514-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 COCONUT DR",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372523",
            "telephone_number": "804-514-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH THERAPY ASSOCIATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "STRUDER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "804-514-0604",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.facebook.com/OutreachTherapyAssociation/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77 Coconut Dr",
            "city": "Key Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330372523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.