Individual provider Active NPI

Charity Le Antoinette Higgins, M.O.T., OTR/L

  • Occupational Therapist
  • Winter Garden, FL
National Provider Identifier
1902097090
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12762 Issued in FL
Practice address
1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449
Phone
(407) 877-0029
Fax
(407) 358-5207
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12762 FL Primary

Addresses

Primary practice location

1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449

Mailing address

1222 Winter Garden Vineland Rd Ste 112
Winter Garden, FL 34787-4449
Phone (407) 877-0029

Other practice location 1

494 E Illiana St
Orlando, FL 32806-5415
Phone (407) 877-0029

Other identifiers 1

IdentifierTypeStateIssuer
892323000MedicaidFL

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
OT12762FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Puttential, Inc Occupational Therapist Past Accepting new patients
Puttential, Inc Developmental Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1902097090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 WINTER GARDEN VINELAND RD STE 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874449",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WINTER GARDEN VINELAND RD STE 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874449",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 E Illiana St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065415",
            "country_code": "US",
            "telephone_number": "407-877-0029",
            "fax_number": "407-358-5207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "CHARITY",
        "middle_name": "LE ANTOINETTE",
        "credential": "M.O.T., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892323000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.