DR. KRISTIAN CARLOS LLACA OTDOTR/L ATPCSRS NPI 1265021992

NPI Information

NPI: 1265021992
Provider Name: DR. KRISTIAN CARLOS LLACA, OTD,OTR/L, ATP,CSRS
Classification: Occupational Therapist - 225XN1300X
Entity Type: Individual

Specialization: Neurorehabilitation

Address:
1239 NW 166TH AVE
PEMBROKE PINES, FL
ZIP 33028
Phone: (305) 431-0887
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DR. Kristian Carlos Llaca, OTD,OTR/L, ATP,CSRS is a neurorehabilitation occupational therapist in Pembroke Pines, FL. DR. Kristian Carlos Llaca, OTD,OTR/L, ATP,CSRS NPI is 1265021992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1239 NW 166TH AVE
PEMBROKE PINES, FL
ZIP 33028-345
Phone: (305) 431-0887

The enumeration date for this NPI number is 1/17/2021 and was last updated on 1/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225CA2400X	Rehabilitation Counselor	Assistive Technology Practitioner	OT16273	FLORIDA	No
2	225XE1200X	Occupational Therapist	Ergonomics	OT16273	FLORIDA	No
3	225XN1300X	Occupational Therapist	Neurorehabilitation	OT16273	FLORIDA	Yes
4	225XP0019X	Occupational Therapist	Physical Rehabilitation	OT16273	FLORIDA	No
5	225XE0001X	Occupational Therapist	Environmental Modification	OT16273	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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