MARY VIRGINIA BLUE (NPI# 1275804510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275804510 |
| Entity Type | Individual |
| Full Name | MARY VIRGINIA BLUE |
| Credential | OTR/L |
| Practice Address |
626 N Tyndall Pkwy Callaway FL 32404-6132 |
| Practice Telephone | 8508716363 |
| Mailing Telephone | 8508716363 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 13060 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710117478 | Mary B. Blue | Speech-Language Pathologist | 111 Oakdale Dr, Summerville, SC 29483-2819 | 2009-07-16 |
| 1093794851 | Mary C Blue | Pathology | 1620 Medical Ln, Suite 100, Ft Myers, FL 33907-1143 | 2006-01-11 |
| Street Address |
626 N TYNDALL PKWY |
| City | CALLAWAY |
| State | FL |
| Zip Code | 32404-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093804 | Emerald Shores Health Care Associates LLC | Skilled Nursing Facility | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2005-12-14 |
| 1285127506 | Jacqueline Nichole Jackson | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2018-06-12 |
| 1235679739 | Corey Wigginton | Physical Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2017-03-02 |
| 1801348966 | Leonardo Tarulli | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2016-10-25 |
| 1356899280 | Allison Blackstock | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2016-09-20 |
| 1194106708 | Michelle J Cerbantec | Speech-Language Pathologist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2015-06-09 |
| 1104222553 | Timothy Schmiz | Occupational Therapist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2014-11-12 |
| 1013280007 | Brandi Jean Dogoda | Physical Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2012-02-22 |
| 1376812016 | 626 North Tyndall Parkway Operations LLC | Skilled Nursing Facility | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2011-12-27 |
| 1386821858 | Kerry Firmin Smith | Physical Therapist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104222553 | Timothy Schmiz | Occupational Therapist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851142 | Daniela Angela Eynaudi | Occupational Therapist | 140 Lakeview Dr Apt 202, Weston, FL 33326-2518 | 2020-11-08 |
| 1598366643 | Flavia Hendrickson | Occupational Therapist | 11142 Harbour Springs Cir, Boca Raton, FL 33428-1245 | 2020-11-05 |
| 1821699042 | Kelly Louise Crocker | Occupational Therapist | 2730 Blossom Dr, Sarasota, FL 34239-4713 | 2020-11-04 |
| 1578164661 | Pathways Therapy Services LLC | Occupational Therapist | 4417 13th St # 159, Saint Cloud, FL 34769-6724 | 2020-11-04 |
| 1770184889 | Khojem Husamuddin Vora | Occupational Therapist | 18004 Lanai Isle Dr, Tampa, FL 33647-3377 | 2020-11-04 |
| 1891396164 | Luke Alan Thompson | Occupational Therapist | 99 Carriage Creek Way, Ormond Beach, FL 32174-6784 | 2020-11-03 |
| 1659972958 | Nikesha Dave | Occupational Therapist | 221 W Hallandale Beach Blvd Ste 113, Hallandale Beach, FL 33009-5441 | 2020-11-03 |
| 1407457963 | Green Thoughts Therapy LLC | Occupational Therapist | 14972 Guava Bay Dr, Winter Garden, FL 34787-4156 | 2020-11-02 |
| 1801497334 | Emily E Nichols | Occupational Therapist | 613 Squire Cir Apt 101, Naples, FL 34104-6561 | 2020-11-02 |
| 1093315707 | Inis Lulolli | Occupational Therapist | 6850 Old Banyan Way, Naples, FL 34109-7824 | 2020-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.