Active NPI
Hilda Harrison, M.S. OTR/L
- Pediatric Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1861412249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT11373
- Practice address
- 12276 San Jose Blvd
Ste. 508
Jacksonville, FL 32223-8628 - Phone
- (904) 886-3228
- Fax
- (904) 886-3297
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT11373 | FL | Primary |
| Occupational Therapist | 225X00000X | OT 11373 | FL |
Addresses
Primary practice location
12276 San Jose Blvd
Ste. 508
Jacksonville, FL 32223-8628
Mailing address
12276 San Jose Blvd
Ste. 508
Jacksonville, FL 32223-8628
Phone (904) 886-3228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889923100 | Medicaid | FL | |
| Z076A | Other | FL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 11373 | FL | MD | Occupational Therapist |
| OT11373 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1861412249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "STE. 508",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-886-3228",
"fax_number": "904-886-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "STE. 508",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-886-3228",
"fax_number": "904-886-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "HILDA",
"name_prefix": "Mrs.",
"credential": "M.S. OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT11373",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 11373",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889923100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z076A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.