Active NPI
Anne Prault, COTA
- Occupational Therapy Assistant
- Bradenton, FL
National Provider Identifier
1871717546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10349
- Practice address
- 4440B 26TH St W
Bradenton, FL 34207-1201 - Phone
- (941) 752-0408
- Fax
- (941) 870-0876
- NPI assigned
- Apr 12, 2007
- Last updated
- Jul 9, 2007
- 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 Therapy Assistant | 224Z00000X | OTA10349 | FL | Primary |
Addresses
Primary practice location
4440B 26TH St W
Bradenton, FL 34207-1201
Mailing address
4755 Sabal Key Dr
Bradenton, FL 34203-3129
Phone (941) 752-0408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901333 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA10349 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871717546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 SABAL KEY DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033129",
"telephone_number": "941-752-0408",
"fax_number": "941-870-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440B 26TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071201",
"telephone_number": "941-752-0408",
"fax_number": "941-870-0876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAULT",
"first_name": "ANNE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901333",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
- Sima Powers, APN
- Practice of Dr. Edwin Chung
- Practitioners at Home Direct LLC
- Gustavo A Prada, M.D.
- Coleman Sims Pratt II, MD
- Precise Home Companions (Eugenia Mays)
- Precise Home Companions
- Precise Ultrasound Inc (Precise Ultrasound)
- Precision Healthcare Solutions
- Precision Orthopedic Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.