Provider Demographics
NPI:1902097090
Name:HIGGINS, CHARITY LE ANTOINETTE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:LE ANTOINETTE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 WINTER GARDEN VINELAND RD STE 112
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4449
Mailing Address - Country:US
Mailing Address - Phone:407-877-0029
Mailing Address - Fax:407-358-5207
Practice Address - Street 1:1222 WINTER GARDEN VINELAND RD STE 112
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4449
Practice Address - Country:US
Practice Address - Phone:407-877-0029
Practice Address - Fax:407-358-5207
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12762225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL892323000Medicaid