Individual provider Active NPI

Lea Ann Buffenbarger, OTR

  • Occupational Therapist
  • Umatilla, FL
National Provider Identifier
1295812907
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT7683 Issued in FL
Practice address
61 Ardlussa St
Umatilla, FL 32784-7604
Phone
(352) 636-8188
NPI assigned
Nov 1, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT7683 FL Primary

Addresses

Primary practice location

61 Ardlussa St
Umatilla, FL 32784-7604

Mailing address

61 Ardlussa St
Umatilla, FL 32784-7604
Phone (352) 636-8188

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy Associates, LLC Occupational Therapist CurrentSince Jul 22, 2008 Accepting new patients
Abbey Rehabilitation Specialists of Lake County Inc Past Accepting new patients

Locations

8686A E County Road 466
The Villages, FL 32162
Phone (352) 391-5079

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1295812907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ARDLUSSA ST",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327847604",
            "telephone_number": "352-636-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ARDLUSSA ST",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327847604",
            "telephone_number": "352-636-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFENBARGER",
        "first_name": "LEA",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT7683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Umatilla, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.