Active NPI
Maritza I Hall, OTR
- Pediatric Occupational Therapist
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1085
- Practice address
- 995 N. State Road 434
Suite 405
Altamonte Springs, FL 32714 - Phone
- (407) 774-6421
- Fax
- (407) 774-0984
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1085 | FL | Primary |
Addresses
Primary practice location
995 N. State Road 434
Suite 405
Altamonte Springs, FL 32714
Mailing address
995 N. State Road 434
Suite 405
Altamonte Springs, FL 32714
Phone (407) 774-6421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5165 Adanson St
Orlando, FL 32804-1331
Phone (352) 394-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1085 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Dreamplex LLC | Pediatrics | Current | Accepting new patients |
| Walker, Hall, Et Al, Partnership | Past | Accepting new patients |
Locations
2400 S US Highway 27
Ste B201
Clermont, FL 34711
Phone (352) 606-0000
2400 S Highway 27
Ste B2
Clermont, FL 34711
5165 Adanson St
Orlando, FL 32804
Phone (407) 303-7600
Organizations & group practices 2
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.
-
- Occupational Therapist
- Altamonte Springs, FL
- NPI 1205920840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609969336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 N. STATE ROAD 434",
"address_2": "SUITE 405",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "32714",
"telephone_number": "407-774-6421",
"fax_number": "407-774-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 N. STATE ROAD 434",
"address_2": "SUITE 405",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "32714",
"telephone_number": "407-774-6421",
"fax_number": "407-774-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARITZA",
"middle_name": "I",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT1085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.