NPIMap

Organization Active NPI

Outreach Therapy Association, LLC.

  • Occupational Therapy Assistant
  • Key Largo, FL
National Provider Identifier
1811544463
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Allison M Struder, COTA/LNPI 1447709654
Title
Cota/L
Phone
(804) 514-0604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

77 Coconut Dr
Key Largo, FL 33037-2523

Mailing address

77 Coconut Dr
Key Largo, FL 33037-2523
Phone (804) 514-0604

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.facebook.com/OutreachTherapyAssociation/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Key Largo, FL

Sources for this page

  • 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.