Active NPI
Tara Brook Vancil, OT
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1992840672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18363
- Practice address
- 606 Sherburn CT
Orlando, FL 32828-9017 - Phone
- (407) 810-2773
- Fax
- (407) 867-6203
- NPI assigned
- Feb 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC008439 | PA | |
| Occupational Therapist | 225X00000X | OT18363 | FL | Primary |
Addresses
Primary practice location
606 Sherburn CT
Orlando, FL 32828-9017
Mailing address
606 Sherburn CT
Orlando, FL 32828-9017
Phone (407) 810-2773
Other practice location 1
300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 941-7708
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT18363 | FL | MD | Occupational Therapist |
| OC008439 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camco Physical & Occupational Therapy LLC | Occupational Therapist | Past | Accepting new patients |
| First Words Speech Therapy LLC | Occupational Therapist | Past | Accepting new patients |
| Procare PT LP | Past | Accepting new patients | |
| Pro Care Health Systems Inc | Past | Accepting new patients | |
| Laurel Medical Supplies, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1407265358
Occupational Therapist
-
- Occupational Therapist
- Somerset, PA
- NPI 1801892203
-
- Prosthetic/Orthotic Supplier
- Johnstown, PA
- NPI 1144459181
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
-
- Physical Therapist
- Altoona, PA
- NPI 1811238744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1992840672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 SHERBURN CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289017",
"telephone_number": "407-810-2773",
"fax_number": "407-867-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 SHERBURN CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289017",
"telephone_number": "407-810-2773",
"fax_number": "407-867-6203"
}
],
"practiceLocations": [
{
"address_1": "300 E Plank Rd",
"address_purpose": "LOCATION",
"city": "Altoona",
"state": "PA",
"postal_code": "166024154",
"country_code": "US",
"telephone_number": "814-941-7708",
"fax_number": "814-941-7715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANCIL",
"first_name": "TARA",
"middle_name": "BROOK",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC008439",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.