Active NPI
Edith Louis
- Occupational Therapy Assistant
- Altoona, FL
National Provider Identifier
1972386316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11652
- Practice address
- 95 Classic Dr
Altoona, FL 32702-9241 - Phone
- (407) 758-3833
- NPI assigned
- Aug 18, 2023
- Last updated
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 11652 | FL | Primary |
Addresses
Primary practice location
95 Classic Dr
Altoona, FL 32702-9241
Mailing address
6224 Zane Dr
Mount Dora, FL 32757-8023
Phone (407) 758-3833
Other practice location 1
6224 Zane Dr
Mount Dora, FL 32757-8023
Phone (407) 758-3833
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 |
|---|---|---|---|
| 11652 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1972386316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6224 ZANE DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327578023",
"telephone_number": "407-758-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CLASSIC DR",
"city": "ALTOONA",
"state": "FL",
"postal_code": "327029241",
"telephone_number": "407-758-3833"
}
],
"practiceLocations": [
{
"address_1": "6224 Zane Dr",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327578023",
"country_code": "US",
"telephone_number": "407-758-3833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUIS",
"first_name": "EDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "11652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, FL
- Harmony Hills, LLC.
- Lakeview Personal Care Services, LLC
- Lakeview Terrace Health Care Center LLC (Lakeview Terrace Skilled Nursing Facility)
- Lakeview Terrace Home Health Services, LLC
- Delfin D Lamban Jr.
- Lowell F. Clark MD PA
- Alma F Martin, LPN
- Jennifer Matthews, PTA
- Jennifer Liorah Mears, MS, CCC/SLP
- Palm Beach Recovery LLC (Harmony Hills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.