Individual provider Active NPI

Blanca C Concepcion, MS OTR/L

  • Occupational Therapist
  • Doral, FL
National Provider Identifier
1578885828
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13848 Issued in FL
Practice address
8491 NW 17TH St Ste 113
Doral, FL 33126-1025
Phone
(305) 205-7880
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT13848 FL
Occupational Therapist 225X00000X OT13848 FL Primary

Addresses

Primary practice location

8491 NW 17TH St Ste 113
Doral, FL 33126-1025

Mailing address

265 South Dr
Miami Springs, FL 33166-5941
Phone (305) 205-7880

Other practice location 1

8660 W Flagler St
suite 131
Miami, FL 33144-2031
Phone (305) 205-7880

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT13848FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One to One Physical Therapy, Inc. PastSince Jul 8, 2019 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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1578885828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SOUTH DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665941",
            "telephone_number": "305-205-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 113",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-205-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8660 W Flagler St",
            "address_2": "suite 131",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442031",
            "country_code": "US",
            "telephone_number": "305-205-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "BLANCA",
        "middle_name": "C",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13848",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.