Mary Ann Alderete

Individual provider Active NPI Occupational Therapy Assistant · Heathrow, FL

NPI 1750565552 · NPPES record last updated Dec 28, 2007

Key facts

NPI
1750565552
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
209066 (TX)
Practice address
1485 International Pkwy
Suite 2051
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
209066TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 209066 TX Yes

Addresses

Primary practice location

1485 International Pkwy
Suite 2051
Heathrow, FL 32746-5303

Mailing address

PO Box 754
Stinnett, TX 79083-0754
Phone (800) 798-6035

Other providers in Heathrow, FL

All providers in Heathrow, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.