Derek Wiston, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEREK WISTON, LLC

Practice address

11671 Island Lakes LN
Boca Raton, FL 33498-6802

Phone

(561) 504-1725

Fax

(561) 465-2986

NPI assigned

Feb 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derek Wiston, OTR/LNPI 1972015600

Title

Owner

Phone

(561) 504-1725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Wiston

  • Occupational Therapist
  • Boca Raton, FL
  • NPI 1972015600
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1972135101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986802",
            "telephone_number": "561-504-1725",
            "fax_number": "561-465-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986802",
            "telephone_number": "561-504-1725",
            "fax_number": "561-465-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK WISTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "WISTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-504-1725",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentists of Boca Village, PA (Dentists of Boca Village)
• Douglas F Deorchis, M.D.
• Rachel Morgan Depasquale, BCBA
• Bernadette Depillo
• Gabriela Tellez Deprima, PSY.D.
• Robert Paul Derhagopian, M.D.
• Mercedes Dericho
• Leaanne Derigne, MSW, PHD
• Francescar Derisier
• Erica Derkits, CRNP

• Home Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.