Individual provider Active NPI

Mayfair Belle Gabutin Huenerfuerst, OTR/L

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1215204409
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114338 Issued in TX
Practice address
11315 Corporate Blvd
Suite 100
Orlando, FL 32817-8344
Phone
(877) 896-3660
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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 114338 TX Primary

Addresses

Primary practice location

11315 Corporate Blvd
Suite 100
Orlando, FL 32817-8344

Mailing address

1126 Berkman Cir
Sanford, FL 32771-6311
Phone (321) 527-9194

Other names 1

  • Mayfair Belle Agcopra Gabutin Former name

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

State licenses

LicenseStateTypeSpecialty
114338TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1215204409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 BERKMAN CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716311",
            "telephone_number": "321-527-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 CORPORATE BLVD",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178344",
            "telephone_number": "877-896-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENERFUERST",
        "first_name": "MAYFAIR BELLE",
        "middle_name": "GABUTIN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYFAIR BELLE",
            "last_name": "GABUTIN",
            "middle_name": "AGCOPRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 16, 2011; 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.