Active NPI
Marie Lynne Birchansky, OTR
- Pediatric Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1275617805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT2135
- Practice address
- 22404 Swordfish Dr
Boca Raton, FL 33428-4610 - Phone
- (561) 302-6728
- Fax
- (561) 477-9947
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT2135 | FL | Primary |
Addresses
Primary practice location
22404 Swordfish Dr
Boca Raton, FL 33428-4610
Mailing address
22404 Swordfish Dr
Boca Raton, FL 33428-4610
Phone (561) 302-6728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT 884183700 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2135 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1275617805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22404 SWORDFISH DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284610",
"telephone_number": "561-302-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22404 SWORDFISH DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284610",
"telephone_number": "561-302-6728",
"fax_number": "561-477-9947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCHANSKY",
"first_name": "MARIE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT2135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OT 884183700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.