Roni Romeo Tumalon Ocubillo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003513 Issued in CT

Practice address

3201 W Commercial Blvd Ste 116
Fort Lauderdale, FL 33309-3444

Phone

(954) 332-4465

Fax

(866) 422-3851

NPI assigned

Nov 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medpro

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1033353339
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1891022992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093444",
            "telephone_number": "954-332-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W COMMERCIAL BLVD STE 116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093444",
            "telephone_number": "954-332-4465",
            "fax_number": "866-422-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCUBILLO",
        "first_name": "RONI ROMEO",
        "middle_name": "TUMALON",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Health Center
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• Robert Leslie Odell, M.D.
• Jordan Oehler
• Carline Ofelus
• Nicole Offenberg, MCMSC, PA
• Amelia Jill Offerdahl, PA-C

• Occupational Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.