Katherine Balboa

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA15128 Issued in FL

Practice address

17661 SW 70TH PL
SW Ranches, FL 33331-1910

Phone

(954) 608-4910

NPI assigned

Apr 7, 2016

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

State licenses

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1184088916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17661 SW 70TH PL",
            "city": "SW RANCHES",
            "state": "FL",
            "postal_code": "333311910",
            "telephone_number": "954-608-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17661 SW 70TH PL",
            "city": "SW RANCHES",
            "state": "FL",
            "postal_code": "333311910",
            "telephone_number": "954-608-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBOA",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adoring Ranches
• Dang Lan Bach
• Colleen Michelle Blankenship, OT/L
• Katelyn Blumenthal, OTR/L
• Austin Figueroa, DPT
• Alina Fluxa-Cutie
• Patricia Freire, PT

• Occupational Therapy Assistant in SW Ranches, FL
• Providers in SW Ranches, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.