Individual provider Active NPI

Michael Boyer

  • Occupational Therapist
  • Clermont, FL
National Provider Identifier
1366115255
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22101 Issued in FL
Practice address
1500 Oakley Seaver Dr # 111
Clermont, FL 34711-1974
Phone
(352) 241-0347
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 OT22101 FL Primary

Addresses

Primary practice location

1500 Oakley Seaver Dr # 111
Clermont, FL 34711-1974

Mailing address

4530 Hidden CRK
San Antonio, TX 78238-3605
Phone (210) 710-1256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802002008 FL Practitioner - Occupational Therapist in Private Practice 2769886514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Business Alliance IncGroup PAC ID 3678657533, 13 clinicians

Practice addresses (Care Compare)

2020 Oakley Seaver Dr
Suite 3
Clermont, FL 34711-1902
Phone (352) 242-0404

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
92.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22101FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Business Alliance Inc CurrentSince Jul 28, 2021 Accepting new patients

Locations

2020 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-0404

2020 Oakley Seaver Dr
Ste 3
Clermont, FL 34711
Phone (352) 242-0404

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1366115255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 HIDDEN CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383605",
            "telephone_number": "210-710-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OAKLEY SEAVER DR # 111",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111974",
            "telephone_number": "352-241-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.