Active NPI
Linda Hilzen, OTD
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1306169610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3796
- Practice address
- 611 Sheridan Rd
Melbourne, FL 32901-3226 - Phone
- (321) 434-5231
- Fax
- (321) 434-9125
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3796 | FL | Primary |
Addresses
Primary practice location
611 Sheridan Rd
Melbourne, FL 32901-3226
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-5820
Other practice location 1
220 S Courtenay Pkwy Ste B
Merritt Island, FL 32952-4893
Phone (321) 434-5820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL | |
| M9094 | Other | FL | MEDICARE HF |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3796 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1306169610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SHERIDAN RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013226",
"telephone_number": "321-434-5231",
"fax_number": "321-434-9125"
}
],
"practiceLocations": [
{
"address_1": "220 S Courtenay Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "329524893",
"country_code": "US",
"telephone_number": "321-434-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILZEN",
"first_name": "LINDA",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT3796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "M9094",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.