Individual provider Active NPI

Linda Lee Mayben Pottberg, MOT, MOTR/L

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1376715821
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12189 Issued in FL
Practice address
3021 SW 27TH Ave # 2
Ocala, FL 34471-0105
Phone
(352) 275-5778
NPI assigned
Mar 25, 2008
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 12189 FL Primary

Addresses

Primary practice location

3021 SW 27TH Ave # 2
Ocala, FL 34471-0105

Mailing address

3240 SW 34TH St Apt 901
Ocala, FL 34474-8403
Phone (352) 275-7746

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

LicenseStateTypeSpecialty
12189FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert's Home Therapy, Inc. Occupational Therapist CurrentSince Apr 9, 2015 Accepting new patients
The Morris Center Past Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1376715821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 SW 34TH ST APT 901",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748403",
            "telephone_number": "352-275-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 SW 27TH AVE # 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710105",
            "telephone_number": "352-275-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTBERG",
        "first_name": "LINDA",
        "middle_name": "LEE MAYBEN",
        "credential": "MOT, MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.