Demetra Malveaux, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 10877 Issued in FL

Practice address

3110 Oakbridge Blvd E
Lakeland, FL 33803-5987

Phone

(863) 648-4800

NPI assigned

Jun 19, 2012

Last updated

Jun 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1861755522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OAKLANDING BLVD",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338607644",
            "telephone_number": "863-899-8099",
            "fax_number": "863-816-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OAKBRIDGE BLVD E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035987",
            "telephone_number": "863-648-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEAUX",
        "first_name": "DEMETRA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 10877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene P Malone, APRN
• Jason W Maloney, MD
• Sara Emily Malowitz, PSY.D.
• Ginger L Maloy, RMHCI
• Hayley Renee Maloy, LCSW
• William F Malzone, M.D.
• Avinash Mamgain
• Bernard Mamphey, OD
• Monique Manderson, FNP-C, PMHNP-BC
• Maneesha Chigurupati DDS, PLLC

• Occupational Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.