Active NPI
Barbara Annette Divincenzo, OTR/L
- Hand Occupational Therapist
- Deland, FL
National Provider Identifier
1235172859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT 2674
- 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, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT 2674 | Other | FL | STATE LICENSE |
| Z6251 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 882118600 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 2674 | FL | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehab Inc | Occupational Therapist | Current | 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.
-
dba Fyzical Therapy and Balance Center
- Rehabilitation Clinic/Center
- Deland, FL
- NPI 1467490136
Occupational Therapist
-
- Occupational Therapy Assistant
- Deltona, FL
- NPI 1679617740
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.