Individual provider Active NPI

Adam Casaceli, COTA/L

  • Occupational Therapy Assistant
  • Orlando, FL
National Provider Identifier
1861857120
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA14913 Issued in FL
Practice address
12837 Madison Pointe Cir
Unit 8201
Orlando, FL 32821-6871
Phone
(732) 616-2719
NPI assigned
Dec 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA14913 FL Primary

Addresses

Primary practice location

12837 Madison Pointe Cir
Unit 8201
Orlando, FL 32821-6871

Mailing address

12837 Madison Pointe Cir
Unit 8201
Orlando, FL 32821-6871
Phone (732) 616-2719

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
OTA14913FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1861857120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12837 MADISON POINTE CIR",
            "address_2": "UNIT 8201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216871",
            "telephone_number": "732-616-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12837 MADISON POINTE CIR",
            "address_2": "UNIT 8201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216871",
            "telephone_number": "732-616-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACELI",
        "first_name": "ADAM",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA14913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.