Maritza Bryan

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1403 S Highland Ave
Apopka, FL 32703-7110

Phone

(407) 504-0321

NPI assigned

Aug 2, 2021

Reactivated

Sep 16, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1326711649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S HIGHLAND AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037110",
            "telephone_number": "407-504-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S HIGHLAND AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037110",
            "telephone_number": "407-504-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10552 Vineyard Dr Apt H103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328218066",
            "country_code": "US",
            "telephone_number": "407-264-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "deactivation_date": "2021-12-21",
        "reactivation_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Bruce, MD
• Sarah Elizabeth Brumbaugh-Baker, CRNA
• Taylor Brun, M.D.
• Vessela Brunig
• Marcia Annette Bryan
• Donald Sherman Buchanan, PNP-C
• Jean Ellis Buchanan, PHYSICAL THERAPIST
• Buckley Eye Care Inc
• Egar Bueno Fernandez I
• Justin M Burgos, PTA

• Developmental Therapist in Apopka, FL
• Providers in Apopka, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.