Active NPI
Maria Minerva Abella, OTR, CLT
- Occupational Therapist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 079078
- Practice address
- 11900 Bournefield Way Ste a
Silver Spring, MD 20904-7823 - Phone
- (301) 879-6133
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Stranssner Dr
Brentwood, MO 63144-1872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260122003066 | CA | Practitioner - Occupational Therapist in Private Practice | 3678566981 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079078 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Medcare Therapy Center | Occupational Therapist | Past | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 827 | WV | |
| Occupational Therapist | 225X00000X | 079078 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11900 Bournefield Way Ste a
Silver Spring, MD 20904-7823
Mailing address
11900 Bournefield Way Ste a
Silver Spring, MD 20904-7823
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004312000 | Medicaid | WV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2017.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1154421923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 BOURNEFIELD WAY STE A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 BOURNEFIELD WAY STE A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047823",
"telephone_number": "301-879-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELLA",
"first_name": "MARIA",
"middle_name": "MINERVA",
"credential": "OTR, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "827",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "079078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004312000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.