Individual provider Active NPI

Barbara Annette Divincenzo, OTR/L

  • Hand Occupational Therapist
  • Deland, FL
National Provider Identifier
1235172859
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 2674 Issued in FL
Practice address
911 N Spring Garden Ave
Deland, FL 32720-2560
Phone
(386) 736-3108
Fax
(386) 736-3643
NPI assigned
Jun 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 2674 FL
Hand Occupational Therapist 225XH1200X OT 2674 FL Primary
Neurorehabilitation Occupational Therapist 225XN1300X OT 2674 FL
Pediatric Occupational Therapist 225XP0200X OT 2674 FL

Addresses

Primary practice location

911 N Spring Garden Ave
Deland, FL 32720-2560

Mailing address

911 N Spring Garden Ave
Deland, FL 32720-2560
Phone (386) 736-3108

Other identifiers 3

IdentifierTypeStateIssuer
OT 2674OtherFLSTATE LICENSE
Z6251OtherFLBLUE CROSS & BLUE SHIELD
882118600MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 2674FLMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehab Inc Occupational Therapist CurrentSince Mar 23, 2012 Accepting new patients
Rhonda L Boertmann Cota PA Past Accepting new patients

Locations

911 N Spring Garden Ave
Deland, FL 32720
Phone (386) 301-8653

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235172859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-3108",
            "fax_number": "386-736-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-3108",
            "fax_number": "386-736-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINCENZO",
        "first_name": "BARBARA",
        "middle_name": "ANNETTE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 2674",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT 2674",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT 2674",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 2674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT 2674",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Z6251",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882118600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.