Provider Demographics
NPI:1215005426
Name:HELMICK, KIRI A (MS OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:KIRI
Middle Name:A
Last Name:HELMICK
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 VALENCIA SHORES DR.
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787
Mailing Address - Country:US
Mailing Address - Phone:352-318-5333
Mailing Address - Fax:407-852-3301
Practice Address - Street 1:448 W. DONEGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741
Practice Address - Country:US
Practice Address - Phone:407-932-3445
Practice Address - Fax:407-852-3301
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT-12256225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891389700Medicaid