Active NPI
Starla Williams
- Occupational Therapist
- Brandon, FL
National Provider Identifier
1851056618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18663 | FL | MD | Occupational Therapist |
Interoperability endpoints
- 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.