Individual provider Active NPI

Fadia Khader-Rashid

  • Pediatric Occupational Therapist
  • Mount Dora, FL
National Provider Identifier
1841455169
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT13148 Issued in FL
Practice address
200 E 10TH Ave
#9
Mount Dora, FL 32757-4289
Phone
(407) 694-6522
NPI assigned
Jul 25, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT13148 FL Primary

Addresses

Primary practice location

200 E 10TH Ave
#9
Mount Dora, FL 32757-4289

Mailing address

200 E 10TH Ave
Apt. 9
Mount Dora, FL 32757-4289
Phone (407) 694-6522

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT13148FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1841455169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 10TH AVE",
            "address_2": "APT. 9",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574289",
            "telephone_number": "407-694-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 10TH AVE",
            "address_2": "#9",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574289",
            "telephone_number": "407-694-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADER-RASHID",
        "first_name": "FADIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.