Active NPI
Maria Teresa Horlador Bliven, COTA
- Occupational Therapy Assistant
- Deltona, FL
National Provider Identifier
1023357613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA9479
- Practice address
- 911 E Fairbairn Dr
Deltona, FL 32725-6955 - Phone
- (386) 383-1400
- NPI assigned
- Feb 3, 2013
- Last updated
- Feb 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA9479 | FL | Primary |
Addresses
Primary practice location
911 E Fairbairn Dr
Deltona, FL 32725-6955
Mailing address
911 E Fairbairn Dr
Deltona, FL 32725-6955
Phone (386) 383-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA9479 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team4 Transport LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359849600000",
"number": "1023357613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E FAIRBAIRN DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327256955",
"telephone_number": "386-383-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E FAIRBAIRN DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327256955",
"telephone_number": "386-383-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIVEN",
"first_name": "MARIA TERESA",
"middle_name": "HORLADOR",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-03",
"last_updated": "2013-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA9479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.