Active NPI
Amber Banfield
- Occupational Therapy Assistant
- Melbourne, FL
National Provider Identifier
1215218912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA11556
- Practice address
- 1800 Penn St
Ste #12
Melbourne, FL 32901-2643 - Phone
- (321) 768-6800
- Fax
- (321) 768-6858
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA11556 | FL | Primary |
Addresses
Primary practice location
1800 Penn St
Ste #12
Melbourne, FL 32901-2643
Mailing address
1800 Penn St
Ste #12
Melbourne, FL 32901-2643
Phone (321) 768-6800
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA11556 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Therapy Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- West Melbourne, FL
- NPI 1811748627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1215218912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PENN ST",
"address_2": "STE #12",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012643",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PENN ST",
"address_2": "STE #12",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012643",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANFIELD",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA11556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.