Active NPI
Belinda Marie Raiden
- Occupational Therapist
- Village of Palmetto Bay, FL
National Provider Identifier
1609919901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811858200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6680 | NC | MD | Professional Counselor |
| OT10999 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
-
- Clinic/Center
- Miami, FL
- NPI 1528172780
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.