Individual provider Active NPI

Elizabeth Chapman Blackburn, OT

  • Hand Occupational Therapist
  • Oviedo, FL
National Provider Identifier
1033414677
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT14453 Issued in FL
Practice address
1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone
(407) 359-4166
Fax
(407) 977-1128
NPI assigned
Jan 12, 2011
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT14453 FL Primary
Occupational Therapist 225X00000X OT14453 FL

Addresses

Primary practice location

1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418

Mailing address

1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500

Other names 1

  • Elizabeth Lara Chapman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002740 FL Practitioner - Occupational Therapist in Private Practice 3173969201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500

25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4476
Phone (407) 254-2500

2699 Lee Rd
Suite 100
Winter Park, FL 32789-1738
Phone (407) 897-1363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT14453FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Orthopaedic Center MD PA CurrentSince Mar 15, 2024 Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Mar 15, 2024 Accepting new patients

Locations

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

1300 Oviedo Mall Blvd
Oviedo, FL 32765
Phone (407) 359-4166

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Interoperability endpoints

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

Organizations & group practices 2

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1033414677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OVIEDO MALL BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657418",
            "telephone_number": "407-977-3500",
            "fax_number": "407-977-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OVIEDO MALL BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657418",
            "telephone_number": "407-359-4166",
            "fax_number": "407-977-1128"
        }
    ],
    "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": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT14453",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CHAPMAN",
            "middle_name": "LARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.