Active NPI
Maria D Selin, OTA
- Occupational Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1700018637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 10626
- Practice address
- 23315 Blue Water Cir
Boca Raton, FL 33433-7053 - Phone
- (561) 368-1033
- Fax
- (561) 955-9640
- NPI assigned
- Aug 11, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 10626 | FL | Primary |
Addresses
Primary practice location
23315 Blue Water Cir
Boca Raton, FL 33433-7053
Mailing address
23447 Radient CT
Boca Raton, FL 33428-5891
Phone (561) 479-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10626 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1700018637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23447 RADIENT CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334285891",
"telephone_number": "561-479-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23315 BLUE WATER CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337053",
"telephone_number": "561-368-1033",
"fax_number": "561-955-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIN",
"first_name": "MARIA",
"middle_name": "D",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "10626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.