Individual provider Active NPI

Erline Francois Massillon, OTD

  • Pediatric Occupational Therapist
  • Orlando, FL
National Provider Identifier
1790498640
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-23779 Issued in FL
Practice address
6751 Meritmoor Cir
Orlando, FL 32818-2294
Phone
(407) 432-0308
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 OT-23779 FL Primary

Addresses

Primary practice location

6751 Meritmoor Cir
Orlando, FL 32818-2294

Mailing address

6751 Meritmoor Cir
Orlando, FL 32818-2294
Phone (407) 432-0308

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL massillonerline@gmail.com Direct

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

LicenseStateTypeSpecialty
OT-23779FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1790498640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 MERITMOOR CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328182294",
            "telephone_number": "407-432-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 MERITMOOR CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328182294",
            "telephone_number": "407-432-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSILLON",
        "first_name": "ERLINE",
        "middle_name": "FRANCOIS",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT-23779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "massillonerline@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6751 Meritmoor Cir",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328182294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.