Fiorella R Dimitrijevic, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13419 Issued in FL

Practice address

8254 118TH Avenue N
Ste 100
Largo, FL 33773-5027

Phone

(727) 541-5304

Fax

(727) 546-8527

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Fiorella Tazza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K & L Therapy Services, Inc.

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1306878475
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1831351485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 BAYSHORE BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035518",
            "telephone_number": "913-579-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 118TH AVENUE N",
            "address_2": "STE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735027",
            "telephone_number": "727-541-5304",
            "fax_number": "727-546-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIJEVIC",
        "first_name": "FIORELLA",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "01997",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIORELLA",
            "last_name": "TAZZA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam S Didio, MD
• Karen Didovets, COTA
• Stephanie Dieffenthaller
• Iris Diego Portal
• Robert Digiovanni, D.O.
• Sinisa Dimitrijevic, DDS
• Lennox Kai-Zoen Din
• Marietta S Dinopol, PT
• Discovery Medical Supply Inc
• Kathleen C Divito, DDS

• Occupational Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Occupational Therapist in Florida

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