Elizabeth Chapman Blackburn, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT14453 Issued in FL

Practice address

1337 S International Pkwy
Suite 1321
Lake Mary, FL 32746-1402

Phone

(407) 833-0802

NPI assigned

Jan 12, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Lara Chapman Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Orthopaedic Center MD PAGroup PAC ID 3678562840, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1740252899
  Medicare reassignment Care Compare group NPD
• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1164154407
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1033414677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1321",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461402",
            "telephone_number": "407-833-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1321",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461402",
            "telephone_number": "407-833-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ELIZABETH",
        "middle_name": "CHAPMAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTT14453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CHAPMAN",
            "middle_name": "LARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bioplus Specialty Pharmacy, Inc.
• Sarah Elizabeth Birks
• Debra Bisbee
• Mardi Jane Bishop, MD
• Jason Bizjack, DPT
• Raya Blackwell
• Amie Blackwood, PTA
• Marc Blanc
• Kristin Vasser Blanco, APRN
• Tramaine Renaldo Blash

• Occupational Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.