David L Hyde, OTR/L

Individual provider Active NPI Occupational Therapist · Heathrow, FL

NPI 1831384551 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1831384551
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4567 (WI)
Practice address
1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352
Phone
(800) 798-6035
NPI assigned
Sep 6, 2007
Sex
Male
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
1016448ORMDOccupational Therapist
4567WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4567 WI Yes
Occupational Therapist 225X00000X 1016448 OR

Addresses

Primary practice location

1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352

Mailing address

2246 Waterford St SE
Albany, OR 97322-8877
Phone (541) 905-3249

Other providers in Heathrow, FL

All providers in Heathrow, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.