Individual provider Active NPI

Timathie Devi Maharana, OTR

  • Occupational Therapist
  • Land O Lakes, FL
National Provider Identifier
1447562822
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20055 Issued in FL
Practice address
2606 Aventura Blvd Unit 1-204
Land O Lakes, FL 34638-8231
Phone
(646) 623-1200
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20055 FL Primary
Pediatric Occupational Therapist 225XP0200X 007617 NY

Addresses

Primary practice location

2606 Aventura Blvd Unit 1-204
Land O Lakes, FL 34638-8231

Mailing address

2606 Aventura Blvd Unit 1-204
Land O Lakes, FL 34638-8231
Phone (646) 623-1200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007617NYMDMental Health Counselor
20055FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy for Kids,OT,PT,SLP,LLC Occupational Therapist Past Accepting new patients

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1447562822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 AVENTURA BLVD UNIT 1-204",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388231",
            "telephone_number": "646-623-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 AVENTURA BLVD UNIT 1-204",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388231",
            "telephone_number": "646-623-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARANA",
        "first_name": "TIMATHIE",
        "middle_name": "DEVI",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20055",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.