Active NPI
Kristina Marie Azza, OTR/L
- Occupational Therapist
- Cape Coral, FL
National Provider Identifier
1902107741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13656
- Practice address
- 3321 Del Prado Blvd S
4
Cape Coral, FL 33904-7263 - Phone
- (239) 340-9226
- NPI assigned
- Nov 10, 2010
- 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 Therapist | 225X00000X | 13656 | FL | Primary |
Addresses
Primary practice location
3321 Del Prado Blvd S
4
Cape Coral, FL 33904-7263
Mailing address
3321 Del Prado Blvd S
4
Cape Coral, FL 33904-7263
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 |
|---|---|---|---|
| 13656 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1902107741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 DEL PRADO BLVD S",
"address_2": "4",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321 DEL PRADO BLVD S",
"address_2": "4",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047263",
"telephone_number": "239-340-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZZA",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "13656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.