Individual provider Active NPI

Jazmin Peralta, OTR/L

  • Occupational Therapist
  • Kissimmee, FL
National Provider Identifier
1922774207
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21788 Issued in FL
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

Updated by the provider on Apr 6, 2026

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001899 FL Practitioner - Occupational Therapist in Private Practice 1850883273 Reassigns benefits to 1 organization

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
Evolve Neuro Therapy LLCGroup PAC ID 6406348820, 7 clinicians

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

LicenseStateTypeSpecialty
OT21788FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Neuro Therapy LLC Occupational Therapist CurrentSince Sep 29, 2025 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.

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.

Verify at the official NPI Registry.