Unknown Individual – Occupational Therapy Assistant, NPI 1588806947

Unknown Individual is a healthcare provider. based in Melbourne, Florida. specializing in Occupational Therapy Assistant. They hold a License No. 10545 (FL). The NPI Number for Unknown Individual is 1588806947

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588806947
Phone
(321) 751-0557
Address
1140 ROYAL FERN DR.
Deactivation Date
20 October 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1140 ROYAL FERN DR.

    MELBOURNE, FL 32940

    Phone: (321) 751-0557

    Type: Location

  • 7201, Greenboro Drive, West Melbourne, Brevard County, Florida, 32904, United States

    WEST MELBOURNE, FL 32904

    Phone: (321) 727-0990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1588806947 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Melbourne, Florida in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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