Maren Vanatta, OT
Individual provider Active NPI Occupational Therapist · Jay, FL
NPI 1376680108 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1376680108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT00002848 (WA)
- Practice address
- 3964 Florida Ave
Jay, FL 32565-1104 - Phone
- (850) 741-6715
- Fax
- (850) 204-0489
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Therapy Group LLC
Practice addresses (Care Compare)
3964 Florida Ave
Jay, FL 32565-1104
Phone (850) 741-6715
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727002763 | FL | Practitioner - Occupational Therapist in Private Practice | 9931201266 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Therapy Group LLC | Current |
Accepting new patients |
Locations
3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00002848 | WA | Yes |
Addresses
Primary practice location
3964 Florida Ave
Jay, FL 32565-1104
Mailing address
922 E Bobe St
Pensacola, FL 32503-3962
Phone (850) 741-6715
Other providers in Jay, FL
- John-Stewart Michael Smith
- Kelsie Stewart
- Spencer Antoine Taylor
- The Terrace at Ivey Acres of Jay
- Tri-City Home Medical, Inc.
- Elizabeth Anne Whitfield
- Erin Marie Willoughby
- Joseph W. Wolfe
All providers in Jay, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.