Active NPI
Martine Deliard
- Early Intervention Provider Agency
- Plantation, FL
National Provider Identifier
1962150219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 1501 NW 108TH Ave
Apt 338
Plantation, FL 33322 - Phone
- (954) 638-0158
- NPI assigned
- Mar 15, 2022
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1501 NW 108TH Ave
Apt 338
Plantation, FL 33322
Mailing address
1501 NW 108TH Ave Apt 338
Apt 338
Plantation, FL 33322-6906
Phone (954) 638-0158
Other practice location 1
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Phone (954) 728-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252Y00000X | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1962150219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NW 108TH AVE APT 338",
"address_2": "APT 338",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226906",
"telephone_number": "954-638-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 NW 108TH AVE",
"address_2": "APT 338",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33322",
"telephone_number": "954-638-0158"
}
],
"practiceLocations": [
{
"address_1": "1401 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162619",
"country_code": "US",
"telephone_number": "954-728-1123",
"fax_number": "954-779-2316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELIARD",
"first_name": "MARTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252Y00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.