Individual provider Active NPI

Starla Williams

  • Occupational Therapist
  • Brandon, FL
National Provider Identifier
1851056618
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18663 Issued in FL
Practice address
1097 E Brandon Blvd
Brandon, FL 33511-5515
Phone
(813) 404-4878
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 18663 FL Primary

Addresses

Primary practice location

1097 E Brandon Blvd
Brandon, FL 33511-5515

Mailing address

2530 Ridgetop Way
Valrico, FL 33594-4223
Phone (813) 404-4878

Other practice location 1

2530 Ridgetop Way
Valrico, FL 33594-4223
Phone (813) 404-4878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRUEBLUETHERAPY@MDOFFICEMAIL.COM Health Information Exchange (HIE)

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
18663FLMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: truebluetherapy@mdofficemail.com

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1851056618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RIDGETOP WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944223",
            "telephone_number": "813-404-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115515",
            "telephone_number": "813-404-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Ridgetop Way",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335944223",
            "country_code": "US",
            "telephone_number": "813-404-4878",
            "fax_number": "813-684-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUEBLUETHERAPY@MDOFFICEMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "HIPAA EMAIL ACCOUNT",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2530 Ridgetop Way",
            "city": "Valrico",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335944223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.