Individual provider Active NPI

Deborah Lavian, OTRL

  • Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1104362573
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07598 Issued in MD
Practice address
7102 Boxford Rd
Baltimore, MD 21215-1704
Phone
(443) 468-8052
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07598 MD Primary

Addresses

Primary practice location

7102 Boxford Rd
Baltimore, MD 21215-1704

Mailing address

7102 Boxford Rd
Baltimore, MD 21215-1704
Phone (443) 468-8052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229000722 MD Practitioner - Occupational Therapist in Private Practice 5092165225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valuecare CorporationGroup PAC ID 0840688164, 5 clinicians

Practice addresses (Care Compare)

3367 Stags Leap Dr
Finksburg, MD 21048-2177
Phone (443) 839-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07598MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valuecare Corporation Occupational Therapist CurrentSince Nov 26, 2023 Accepting new patients
Supreme Health and Rehabilitation Services, LLC Occupational Therapist CurrentSince Mar 25, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1104362573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 BOXFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151704",
            "telephone_number": "443-468-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 BOXFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151704",
            "telephone_number": "443-468-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "DEBORAH",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.