Active NPI
Janice Hare Florio, OTRL
- Pediatric Occupational Therapist
- Southport, NC
National Provider Identifier
1093854507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2929
- Practice address
- 5083 Southport Supply Rd SE
Unit 4
Southport, NC 28461-8155 - Phone
- (910) 454-9001
- Fax
- (910) 454-4039
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2929 | NC | Primary |
Addresses
Primary practice location
5083 Southport Supply Rd SE
Unit 4
Southport, NC 28461-8155
Mailing address
3605 W Beach Dr
Oak Island, NC 28465-7842
Phone (910) 454-9001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301535 | Medicaid | NC | |
| 7211567 | Medicaid | NC | |
| 133V5 | Other | NC | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 2929 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O.T. Center Inc. | Pediatrics | 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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093854507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 W BEACH DR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284657842",
"telephone_number": "910-454-9001",
"fax_number": "910-454-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5083 SOUTHPORT SUPPLY RD SE",
"address_2": "UNIT 4",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284618155",
"telephone_number": "910-454-9001",
"fax_number": "910-454-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORIO",
"first_name": "JANICE",
"middle_name": "HARE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "2929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301535",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211567",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "133V5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.