Maya Renee Delport, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105837 Issued in MN

Practice address

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356

Phone

(952) 224-1919

Fax

(612) 999-1943

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odom Sports Medicine PAGroup PAC ID 0143485607, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Odom Sports Medicine, P.a.

  • Sports Medicine (Family Medicine) Physician
  • Eden Prairie, MN
  • NPI 1275557886
  Medicare reassignment Care Compare group NPD
• Aegis Therapies - Minnesota Rehab LLC

  • Physical Therapist
  • Lake Elmo, MN
  • NPI 1750728077

  Occupational Therapist

  NPD (past)
• Senior Care Woodland Elders, LLC

  • Assisted Living Facility
  • Woodbury, MN
  • NPI 1184880361
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1275183154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FLYING CLOUD DR STE 201",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443356",
            "telephone_number": "952-224-1919",
            "fax_number": "612-999-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FLYING CLOUD DR STE 201",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443356",
            "telephone_number": "952-224-1919",
            "fax_number": "612-999-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Galahad Rd N",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540161040",
            "country_code": "US",
            "telephone_number": "715-441-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3666 E County Line N",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551101800",
            "country_code": "US",
            "telephone_number": "651-504-1063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1670 Legacy Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095469",
            "country_code": "US",
            "telephone_number": "651-756-1859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2365 Helen St N",
            "address_purpose": "LOCATION",
            "city": "North St Paul",
            "state": "MN",
            "postal_code": "551092970",
            "country_code": "US",
            "telephone_number": "651-770-4028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Woodlane Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252906",
            "country_code": "US",
            "telephone_number": "651-714-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELPORT",
        "first_name": "MAYA",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdimalik Ahmed Dekow
• Abdirizack Ahmed Dekow
• Joseph Marion Delallo, PHARMD
• Josser E Delgado, M.D.
• Erica Ann Delles, LPCC
• Delta Home Health Care, LLC
• Frederick E Demeuse, PAC
• Sophia Ann Demuth
• Laura Deng, DPT
• James E Denier, M.D.

• Occupational Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.