Mary D Huszcza, OTR L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 10154 Issued in FL

Practice address

345 Captiva Dr
Ponte Vedra, FL 32081-5066

Phone

(904) 254-7569

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1760539878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CAPTIVA DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815066",
            "telephone_number": "904-254-7569",
            "fax_number": "904-302-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CAPTIVA DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815066",
            "telephone_number": "904-254-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSZCZA",
        "first_name": "MARY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OT 10154",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 10154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887015200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Antwiwa Hyman, M.S. CCC-SLP
• Igor Melnychuk MD PA
• Lyndsey Ingram, DPT
• Cynthia Lyn Inks
• Inner Strength Physical Therapy, LLC.

• Pediatric Occupational Therapist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.