Individual provider Active NPI

Evelyn Miranda Levasseur, OTR

  • Physical Rehabilitation Occupational Therapist
  • Venice, FL
National Provider Identifier
1972847424
Registry record updated Nov 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT2027 Issued in FL
Practice address
1240 Pinebrook Rd
Venice, FL 34285-6421
Phone
(941) 488-6733
Fax
(941) 484-5610
NPI assigned
Nov 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OT2027 FL Primary

Addresses

Primary practice location

1240 Pinebrook Rd
Venice, FL 34285-6421

Mailing address

22144 Mamaroneck Ave
Port Charlotte, FL 33952-6925
Phone (941) 488-6733

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

LicenseStateTypeSpecialty
OT2027FLMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1972847424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22144 MAMARONECK AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526925",
            "telephone_number": "941-488-6733",
            "fax_number": "941-484-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PINEBROOK RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856421",
            "telephone_number": "941-488-6733",
            "fax_number": "941-484-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "EVELYN",
        "middle_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT2027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; 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.