Mary O'Hara

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12288 Issued in FL

Practice address

2620 Blanding Blvd Ste 28
Middleburg, FL 32068-9102

Phone

(904) 282-8640

Fax

(904) 282-8696

NPI assigned

Feb 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588701916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 WHEELER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 BLANDING BLVD STE 28",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320689102",
            "telephone_number": "904-282-8640",
            "fax_number": "904-282-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Anesthesia Consultants Inc
• North Florida Surgeons, PA
• Ashley McCormick North, LMHC
• Northeast Florida Endocrine and Diabetes Associates, PA
• Kimberly J Norwicz
• Shanelle Oliver, RN
• Optimal Holistic Medicine
• Optimal Homecare Services LLC
• Orange Park Medical Center, Inc. (HCA Florida Middleburg Emergency, a department of HCA Florida Orange Park Hospital)
• Nelson Paez Carrillo, DMD

• Occupational Therapist in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.