OrganizationActive
Life Enrichment & Wellness
NPI 1255825055 · Occupational Therapist · Vero Beach, FL
Provider details
- NPI number
- 1255825055
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carol Defazio, Occupational Therapist(772) 494-3010
- License
- OT13709 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
552 10th Pl
Vero Beach, FL 32960
Phone: (772) 494-3010
Street-level locationGet directions
Mailing address
552 10th Pl
Vero Beach, FL 32960-6823
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.