Individual provider Active NPI

Raphaele Jacqueline Lataillade, MS,OTR/L

  • Occupational Therapist
  • Vero Beach, FL
National Provider Identifier
1831495092
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10833 Issued in FL
Practice address
7855 Griffon Lane
Apt 116
Vero Beach, FL 32966
Phone
(954) 593-5884
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT10833 FL Primary

Addresses

Primary practice location

7855 Griffon Lane
Apt 116
Vero Beach, FL 32966

Mailing address

7855 Griffon Lane
Apt 116
Vero Beach, FL 32966
Phone (954) 593-5884

Other names 1

  • Raphaele Lataillade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040911000154 FL Practitioner - Occupational Therapist in Private Practice 7416924386 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT10833FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next PT Group Florida, LLC Single Specialty CurrentSince Jun 10, 2024 Accepting new patients
Sobe Innovative Rehabilitation PLLC Occupational Therapist CurrentSince Aug 20, 2020 Accepting new patients
QRM Plus Florida - OT LLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Flexrehab Services, Inc Single Specialty Past Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

1661 SE 31st St
Unit 3
Ocala, FL 34471
Phone (850) 380-4657

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

5057 Keller Springs Rd
Ste 150
Addison, TX 75001
Phone (800) 420-1036

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1831495092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 GRIFFON LANE",
            "address_2": "APT 116",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32966",
            "telephone_number": "954-593-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 GRIFFON LANE",
            "address_2": "APT 116",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32966",
            "telephone_number": "954-593-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATAILLADE",
        "first_name": "RAPHAELE",
        "middle_name": "JACQUELINE",
        "name_prefix": "Miss",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAPHAELE",
            "last_name": "LATAILLADE",
            "credential": "MS,OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.