Individual provider Active NPI

Tara Brook Vancil, OT

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1992840672
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT18363 Issued in FL
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

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT18363FLMDOccupational Therapist
OC008439PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 2, 2019 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.

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.

Verify at the official NPI Registry.