Active NPI
Barbara Louanne Perreault, OTA
- Occupational Therapy Assistant
- Lake Mary, FL
National Provider Identifier
1922398684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA 11667
- Practice address
- 4044 W Lake Mary Blvd
104-245
Lake Mary, FL 32746-2012 - Phone
- (800) 226-9917
- Fax
- (800) 224-6215
- NPI assigned
- Apr 14, 2011
- 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 | OTA 11667 | FL | Primary |
Addresses
Primary practice location
4044 W Lake Mary Blvd
104-245
Lake Mary, FL 32746-2012
Mailing address
112 Magnolia LN
Haines City, FL 33844-9277
Phone (978) 771-9458
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 |
|---|---|---|---|
| OTA 11667 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1922398684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAGNOLIA LN",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449277",
"telephone_number": "978-771-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4044 W LAKE MARY BLVD",
"address_2": "104-245",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462012",
"telephone_number": "800-226-9917",
"fax_number": "800-224-6215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERREAULT",
"first_name": "BARBARA",
"middle_name": "LOUANNE",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 11667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.