Active NPI
John Lester Childers
- Occupational Therapy Assistant
- West Palm Beach, FL
National Provider Identifier
1871864272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA4619
- Practice address
- 2939 S Haverhill Rd
West Palm Beach, FL 33415-8118 - Phone
- (561) 641-3130
- NPI assigned
- Jan 18, 2012
- Sex
- Male
- 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 | OTA4619 | FL | Primary |
Addresses
Primary practice location
2939 S Haverhill Rd
West Palm Beach, FL 33415-8118
Mailing address
1713 E Terrace Dr
Lake Worth, FL 33460-6448
Phone (561) 641-3130
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 |
|---|---|---|---|
| OTA4619 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1871864272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 E TERRACE DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606448",
"telephone_number": "561-641-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 S HAVERHILL RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334158118",
"telephone_number": "561-641-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "JOHN",
"middle_name": "LESTER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA4619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
- Nisha P Chhabria, MD
- Charmaine A Chibar, M.D.
- Kathy L Chidsey, LMT
- Claudia Chiesa Garcia
- Caeley Sarah Childers, RMHCI
- Children Plus Health Group
- Children Plus Health Group
- Children's Case Management Organization, Inc (Families First of Palm Beach County)
- Children's Case Management Organization, Inc. (Families First of Palm Beach County)
- Children's Home Society of Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.