Individual provider Active NPI

Juliah Marie Duffy, MS, OTR/L

  • Occupational Therapist
  • Palm Coast, FL
National Provider Identifier
1801424361
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
20256 Issued in FL
Practice address
4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671
Phone
(386) 446-9935
NPI assigned
Mar 31, 2020
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20256 FL Primary

Addresses

Primary practice location

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671

Mailing address

1431 Twin Rivers Blvd
Oviedo, FL 32766-5112
Phone (407) 451-0089

Other practice location 1

5650 S Washington Ave
Titusville, FL 32780-7312
Phone (386) 446-9935

Other practice location 2

521 W New York Ave
Deland, FL 32720-5350
Phone (386) 446-9935

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20256FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy, Inc. Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1801424361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 TWIN RIVERS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327665112",
            "telephone_number": "407-451-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 PALM COAST PKWY NW UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373671",
            "telephone_number": "386-446-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327807312",
            "country_code": "US",
            "telephone_number": "386-446-9935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 W New York Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327205350",
            "country_code": "US",
            "telephone_number": "386-446-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JULIAH",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.