Active NPI
Roberto Masters
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1932673274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25295
- Practice address
- 10709 Fairfield Village Dr
Tampa, FL 33624-5082 - Phone
- (813) 401-8467
- NPI assigned
- Jan 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25295 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
10709 Fairfield Village Dr
Tampa, FL 33624-5082
Mailing address
10709 Fairfield Village Dr
Tampa, FL 33624-5082
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 |
|---|---|---|---|
| 25295 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Behavior Solutions, LLC | Past | Accepting new patients | |
| Creative Behavior Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Largo, FL
- NPI 1003245275
-
- Behavior Analyst
- Clearwater, FL
- NPI 1881364628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1932673274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 FAIRFIELD VILLAGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10709 FAIRFIELD VILLAGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245082",
"telephone_number": "813-401-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "ROBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-21",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "25295",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.