Individual provider Active NPI

Hilary Marie Dumas

  • Occupational Therapy Assistant
  • Port St Lucie, FL
National Provider Identifier
1245908862
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
9857 Issued in FL
Practice address
1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302
Phone
(772) 336-6928
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 9857 FL Primary

Addresses

Primary practice location

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953-7302

Mailing address

705 Ramie CT
Port St Lucie, FL 34952-1353
Phone (561) 324-1143

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
9857FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Speech Therapy Services, Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

1483 SW Bougainvillea Ave
Port St Lucie, FL 34953
Phone (772) 336-6928

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.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1245908862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RAMIE CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521353",
            "telephone_number": "561-324-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "HILARY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "9857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.