Individual provider Active NPI

Velinda Utile, OTD

  • Occupational Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1972216281
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23475 Issued in FL
Practice address
340 16TH Ave N Ste B
Jacksonville Beach, FL 32250-4819
Phone
(904) 249-8893
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 OT23475 FL Primary

Addresses

Primary practice location

340 16TH Ave N Ste B
Jacksonville Beach, FL 32250-4819

Mailing address

2304 Saint Johns Bluff Rd S Apt 6303
Jacksonville, FL 32246-2366
Phone (850) 692-1102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803001069 FL Practitioner - Occupational Therapist in Private Practice 5991166118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Speech Therapy Services LLC. Occupational Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

9957 Moorings Dr
Ste 301
Jacksonville, FL 32257
Phone (904) 652-6165

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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1972216281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SAINT JOHNS BLUFF RD S APT 6303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462366",
            "telephone_number": "850-692-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 16TH AVE N STE B",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504819",
            "telephone_number": "904-249-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTILE",
        "first_name": "VELINDA",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.