Individual provider Active NPI

Belinda Marie Raiden

  • Occupational Therapist
  • Village of Palmetto Bay, FL
National Provider Identifier
1609919901
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10999 Issued in FL
Practice address
17615 Franjo Rd
Early Steps
Village of Palmetto Bay, FL 33157-5636
Phone
(786) 268-2611
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 OT10999 FL Primary

Addresses

Primary practice location

17615 Franjo Rd
Early Steps
Village of Palmetto Bay, FL 33157-5636

Mailing address

17615 Franjo Rd
Early Steps
Village of Palmetto Bay, FL 33157-5636
Phone (786) 268-2611

Other identifiers 1

IdentifierTypeStateIssuer
811858200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000231 NC Practitioner - Occupational Therapist in Private Practice 7618380585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

2147 Davie Ave
Statesville, NC 28625-9200
Phone (704) 994-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6680NCMDProfessional Counselor
OT10999FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JF3 Inc. Occupational Therapist Past Accepting new patients
Complete Therapy USA Inc. Occupational Therapist Past Accepting new patients
Coral Medical Management Inc Past Accepting new patients

Organizations & group practices 4

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1609919901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 FRANJO RD",
            "address_2": "EARLY STEPS",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-268-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 FRANJO RD",
            "address_2": "EARLY STEPS",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575636",
            "telephone_number": "786-268-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIDEN",
        "first_name": "BELINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811858200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.