Active NPI
Schelroya Valle
- Occupational Therapy Assistant
- Marianna, FL
National Provider Identifier
1992567754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA14451
- Practice address
- 4711 Highway 162
Marianna, FL 32446-7948 - Phone
- (850) 693-4706
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | OTA14451 | FL | Primary |
Addresses
Primary practice location
4711 Highway 162
Marianna, FL 32446-7948
Mailing address
4228 Lillianette St
Marianna, FL 32448-3838
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 |
|---|---|---|---|
| OTA14451 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1992567754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 LILLIANETTE ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324483838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 HIGHWAY 162",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324467948",
"telephone_number": "850-693-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "SCHELROYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA14451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
- James Durward Tyler III, APRN
- Kate Frances Tyler, NP
- Megan Gardner Tyler, ARNP
- Unlimited Possibilities Behavior & Transitions Support, LLC
- Unlimited Possibilities Behavior Supports LLC
- Aaron Miguel Varieur, PT, DPT
- Diane M Vendryes, PH.D
- Vital Prosthetics, Inc.
- Volunteers of America of Florida, Inc
- Kimberly Wadsworth, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.