Individual provider Active NPI

Linda Chase, M.S.,OTR/L

  • Pediatric Occupational Therapist
  • Orlando, FL
National Provider Identifier
1164468989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 9754 Issued in FL
Practice address
1827 Balsam Willow TRL
Orlando, FL 32825-4476
Phone
(407) 399-3800
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 9754 FL Primary

Addresses

Primary practice location

1827 Balsam Willow TRL
Orlando, FL 32825-4476

Mailing address

1827 Balsam Willow TRL
Orlando, FL 32825-4476
Phone (407) 399-3800

Other practice location 1

1561 S Alafaya Trl
Suite 200
Orlando, FL 32828-8956
Phone (407) 382-5551

Other identifiers 1

IdentifierTypeStateIssuer
887865000MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 9754FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164468989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 BALSAM WILLOW TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254476",
            "telephone_number": "407-399-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 BALSAM WILLOW TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254476",
            "telephone_number": "407-399-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 S Alafaya Trl",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288956",
            "country_code": "US",
            "telephone_number": "407-382-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "M.S.,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887865000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.