Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770110835 Individual Practitioner Female Practitioner

Kimberly Detrio , COTA, L

Occupational Therapy Assistant • Maitland, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Detrio, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Maitland, FL. Practice services are available at 125 S SWOOPE AVE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 S Swoope Ave Ste 210

Maitland, FL 327515784

Telephone 3219724122
Fax 4075422168
Associated Practice Facility / Clinic
🏢 Gabriel Therapy Group Facility NPI 1841951696

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Maitland, FL (3883 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License FL OTA10512

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Lindsey Yedinak , MA CCC-SLP

Speech-Language Pathologist

NPI 1205254117

MACCCSLP

Madalyn Gargiulo

Speech-Language Pathologist

NPI 1255255618
Sydney Anliker , MS CF-SLP

Speech-Language Pathologist

NPI 1275364291

MSCFSLP

Vicki Deutsch , PTA, L

Physical Therapy Assistant

NPI 1366079873

Physical Therapist Assistant, L

Destiny Aguirre

Speech-Language Pathologist

NPI 1699568022
Catherine Oliver

Speech-Language Pathologist

NPI 1811869696

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 29, 2025

Registered at 125 S SWOOPE AVE STE 210, MAITLAND, FL 327515784 (Tel: 3219724122)

📍
Updated Business Mailing Address January 29, 2025

Registered at 125 S SWOOPE AVE STE 210, MAITLAND, FL 327515784 (Tel: 3219724122)

NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2020

Registered at 5125 ADANSON ST, ORLANDO, FL 328041354 (Tel: 3523940212)

📍
Updated Business Mailing Address March 26, 2020

Registered at PO BOX 120547, CLERMONT, FL 347120547 (Tel: 3523940212)

👤
Provider Name / Credentials Updated March 26, 2020

Recorded as KIMBERLY DETRIO, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Occupational Therapy Assistant (License #OTA10512 in FL)

🟢
Initial NPI Registration & Enumeration March 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770110835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: January 29, 2025
Sole Proprietor: Yes

Mailing Address

125 S Swoope Ave Ste 210

Maitland, FL 327515784

Phone: 3219724122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.