Leo Gutierrez, OTR/L
Occupational Therapist in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1104512441
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1104512441
- Entity type
- Individual (NPI-1)
- Name
- Leo Gutierrez
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT10981 | FL | Yes |
Practice location
5895 Whipoorwill LnFort Pierce, FL 34987-3124
Phone 772-828-9106
Mailing address
5895 Whipoorwill LnFort Pierce, FL 34987-3124
Phone 772-828-9106
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Occupational Therapist providers in Fort Pierce · All 2,414 providers in Fort Pierce
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