Individual provider Active NPI

Marla Hinkle

  • Gerontology Occupational Therapist
  • Melbourne, FL
National Provider Identifier
1336377373
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT2590 Issued in FL
Practice address
2698 Longwood Blvd
Melbourne, FL 32934-8235
Phone
(321) 254-3419
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT2590 FL Primary

Addresses

Primary practice location

2698 Longwood Blvd
Melbourne, FL 32934-8235

Mailing address

2698 Longwood Blvd
Melbourne, FL 32934-8235
Phone (321) 254-3419

Other names 1

  • Marla Davitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408000815 FL Practitioner - Occupational Therapist in Private Practice 7517265499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor of Womens Health LLCGroup PAC ID 6305187998, 7 clinicians

Practice addresses (Care Compare)

65 E Nasa Blvd
Suite 101
Melbourne, FL 32901-1961
Phone (321) 802-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2590FLMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor of Women'S Health LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

65 E Nasa Blvd
Ste 101
Melbourne, FL 32901
Phone (321) 541-1970

801 E Hibiscus Blvd
Ste 1
Melbourne, FL 32901
Phone (321) 802-5655

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1336377373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 LONGWOOD BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348235",
            "telephone_number": "321-254-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 LONGWOOD BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348235",
            "telephone_number": "321-254-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "MARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "DAVITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 29, 2009; 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.