Active NPI
Latricia Denise Valentine, OT
- Occupational Therapist
- Vero Beach, FL
National Provider Identifier
1831688506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19214
- Practice address
- 4150 Indian River Blvd
Vero Beach, FL 32967-7224 - Phone
- (772) 254-4618
- Fax
- (772) 252-4693
- NPI assigned
- May 8, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT19214 | FL | Primary |
Addresses
Primary practice location
4150 Indian River Blvd
Vero Beach, FL 32967-7224
Mailing address
561 Lafayette St SW
Palm Bay, FL 32908-1248
Phone (321) 508-7787
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 |
|---|---|---|---|
| OT19214 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699142400000",
"number": "1831688506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 LAFAYETTE ST SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329081248",
"telephone_number": "321-508-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 INDIAN RIVER BLVD",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329677224",
"telephone_number": "772-254-4618",
"fax_number": "772-252-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "LATRICIA",
"middle_name": "DENISE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.