IndividualActive
Lisette Rodriguez, COTA/L
NPI 1396370458 · Occupational Therapy Assistant · Kissimmee, FL
Provider details
- NPI number
- 1396370458
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA17576 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439
Phone: (407) 530-5063
Street-level locationGet directions
Mailing address
197 Garden Dr
Winter Springs, FL 32708-2969
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.