SHANITA VENISE TYSON (COTA) – Occupational Therapist, NPI 1619485562

SHANITA VENISE TYSON (COTA) is a healthcare provider. based in Apopka, Florida. specializing in Occupational Therapist. They hold the professional credentials COTA. They hold a License No. OTA15370 (FL). The NPI Number for SHANITA VENISE TYSON (COTA) is 1619485562

Main info

Female
Name
SHANITA VENISE TYSON (COTA)
NPI
1619485562
Phone
(407) 252-4249
Address
506 S HAWTHORNE AVE
Enumeration Date
12 January 2018
Last Update Date
26 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for SHANITA VENISE TYSON (COTA)

  • 506, Hawthorne Avenue, Apopka, South Apopka, Orange County, Florida, 32703, United States

    APOPKA, FL 327035124

    Phone: (407) 252-4249

    Type: Mailing

  • 6000, Turkey Lake Road, Orlando, Orange County, Florida, 32819, United States

    ORLANDO, FL 328194200

    Phone: (321) 732-3723

    Fax: (321) 352-7168

    Type: Location

  • 4824 WATERS GATE DR

    TAVARES, FL 327786208

    Phone: (407) 252-4249

    Type: Mailing

  • 6 N EUSTIS ST

    EUSTIS, FL 327263408

    Phone: (321) 276-5054

    Type: Location

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

Source: CMS public data · Not endorsed by CMS ·

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 32703)

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Reviews

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Frequently asked questions

Is there an official ID for SHANITA VENISE TYSON (COTA) in U.S. healthcare records?
The official identifier for SHANITA VENISE TYSON (COTA) is NPI 1619485562.
Is there an active status for SHANITA VENISE TYSON (COTA)?
For scheduling context, SHANITA VENISE TYSON (COTA) is shown as active in the registry.
What kind of doctor is SHANITA VENISE TYSON (COTA)?
SHANITA VENISE TYSON (COTA) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANITA VENISE TYSON (COTA)?
Travel planning: use Apopka, Florida as the reference point for SHANITA VENISE TYSON (COTA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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