Biancah Alexandra Derival, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT26095 Issued in FL

Practice address

1860 SW Fountainview Blvd Ste 100-2003
Port Saint Lucie, FL 34986-4535

Phone

(407) 469-5110

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1174420392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 JETTY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173182",
            "telephone_number": "321-230-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100-2003",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "407-469-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIVAL",
        "first_name": "BIANCAH",
        "middle_name": "ALEXANDRA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT26095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.