Individual provider Active NPI

Maritza I Hall, OTR

  • Pediatric Occupational Therapist
  • Altamonte Springs, FL
National Provider Identifier
1609969336
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT1085 Issued in FL
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230608003413 FL Practitioner - Occupational Therapist in Private Practice 6507223344 Reassigns benefits to 1 organization

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
Central Florida Dreamplex LLCGroup PAC ID 0840520193, 8 clinicians

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

LicenseStateTypeSpecialty
OT1085FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Dreamplex LLC Pediatrics CurrentSince Mar 4, 2023 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.

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.

Verify at the official NPI Registry.