Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tragene Addis Bristo, MOT

Individual provider Occupational Therapist · NPI 1790125714

Mr. Tragene Addis Bristo, MOT is an Occupational Therapist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

7801 N Federal Hwy #8-104
Boca Raton, FL 33487-1709
Phone: (806) 319-1569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 15778 (FL)

Record details

NPI number1790125714
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT
Sole proprietorYes
NPI enumeratedJuly 5, 2013
Last updated in NPPESJuly 5, 2013

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