Erica Davalt Destephano, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14367 Issued in FL

Practice address

1050 N Davis St
Jacksonville, FL 32209-6808

Phone

(904) 355-0155

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Arc Jacksonville, Inc.Group PAC ID 4183096100, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Arc Jacksonville, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1558563619
  Medicare reassignment Care Compare group NPD
• Clay Physical Therapy PA

  • Physical Therapist
  • Orange Park, FL
  • NPI 1902075914
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1285505412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N DAVIS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096808",
            "telephone_number": "904-355-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N DAVIS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096808",
            "telephone_number": "904-355-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEPHANO",
        "first_name": "ERICA",
        "middle_name": "DAVALT",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Despres
• Riley Elizabeth Despres, RN
• Selmawit Desta
• Christopher Destephano, MD
• Don Bernard Destephano, MD
• Patricia Ann Destephano, OTR
• Roseline A Desvaristes, M.D.
• Kevin John Determan, B.S.,D.C.,F.A.S.A.
• Jonathan L Detlefs, EXEMPT APP.
• Nicole Pauline Detrick

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.