Individual provider Active NPI

Maja Ann Florentine, OTR/L

  • Occupational Therapist
  • Oakland, FL
National Provider Identifier
1881654432
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-17170 Issued in FL
Practice address
409 E Oakland Ave
Suite B
Oakland, FL 34787-3070
Phone
(407) 654-5455
NPI assigned
Mar 27, 2006
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001638 CT
Occupational Therapist 225X00000X OT-17170 FL Primary

Addresses

Primary practice location

409 E Oakland Ave
Suite B
Oakland, FL 34787-3070

Mailing address

2506 Lake Debra Dr
Apartment 8208
Orlando, FL 32835-8725
Phone (860) 836-6036

Other identifiers 1

IdentifierTypeStateIssuer
015736000MedicaidFL

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
001638CTMDProfessional Counselor
OT-17170FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Occupational Specialists, LLC Occupational Therapist PastSince Jun 3, 2013 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1881654432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKE DEBRA DR",
            "address_2": "APARTMENT 8208",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358725",
            "telephone_number": "860-836-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E OAKLAND AVE",
            "address_2": "SUITE B",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347873070",
            "telephone_number": "407-654-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINE",
        "first_name": "MAJA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "001638",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-17170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015736000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.