Individual provider Active NPI

Deborah Blackwell Owensby

  • Developmental Therapist
  • Tampa, FL
National Provider Identifier
1770880957
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
2901 W Busch Blvd
Suite 916
Tampa, FL 33618-4523
Phone
(813) 748-1386
Fax
(813) 343-6855
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

2901 W Busch Blvd
Suite 916
Tampa, FL 33618-4523

Mailing address

3906 Carrollwood Place Cir
Apt 107
Tampa, FL 33624-3063
Phone (813) 962-4921

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

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1770880957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 CARROLLWOOD PLACE CIR",
            "address_2": "APT 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243063",
            "telephone_number": "813-962-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BUSCH BLVD",
            "address_2": "SUITE 916",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184523",
            "telephone_number": "813-748-1386",
            "fax_number": "813-343-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL OWENSBY",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.