Active NPI
Gaitree Lilldat, OTR/L
- Occupational Therapist
- Saint Cloud, FL
National Provider Identifier
1922460690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-17701
- Practice address
- 3201 Budinger Ave
Saint Cloud, FL 34769-7203 - Phone
- (407) 891-3054
- Fax
- (888) 477-7678
- NPI assigned
- Mar 22, 2016
- 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 | OT-17701 | FL | Primary |
Addresses
Primary practice location
3201 Budinger Ave
Saint Cloud, FL 34769-7203
Mailing address
2576 Shadetree CT
Kissimmee, FL 34744-3849
Phone (407) 361-3736
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-17701 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1922460690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2576 SHADETREE CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347443849",
"telephone_number": "407-361-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 BUDINGER AVE",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347697203",
"telephone_number": "407-891-3054",
"fax_number": "888-477-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLDAT",
"first_name": "GAITREE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT-17701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
- Amanda Leyva, BSN, RN, NTMNC,IBCLC
- Sarah Falconer Libby, SARAH FALCONER
- Juliuscaesar Orias Licong, PHYSICAL THERAPIST
- Life & Hope Care LLC
- Lilialis Health & Wellness PLLC
- Yaremys Lima
- Joanne Casanova Limones, FNP-C
- Little Angels Pediatrics
- Living Well Chiropractic of Central Florida Inc
- Living Well Health Center of Central Florida Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.