Active NPI
Jazmin Peralta, OTR/L
- Occupational Therapist
- Kissimmee, FL
National Provider Identifier
1922774207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21788
- Practice address
- 111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774 - Phone
- (407) 904-5285
- Fax
- (407) 987-5236
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | OT21788 | FL | Primary |
Addresses
Primary practice location
111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774
Mailing address
111 E Monument Ave Unit 410
Kissimmee, FL 34741-5774
Phone (407) 904-5285
Other names 1
- Jazmin Hidalgo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 E Monument Ave
Unit 410
Kissimmee, FL 34741-5774
Phone (407) 904-5285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT21788 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Neuro Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
111 E Monument Ave
Unit 410
Kissimmee, FL 34741
Phone (407) 847-6873
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Kissimmee, FL
- NPI 1619856929
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1922774207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E MONUMENT AVE UNIT 410",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415774",
"telephone_number": "407-904-5285",
"fax_number": "407-987-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E MONUMENT AVE UNIT 410",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415774",
"telephone_number": "407-904-5285",
"fax_number": "407-987-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "JAZMIN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT21788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAZMIN",
"last_name": "HIDALGO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.