MRS. ERICA DAVALT DESTEPHANO OT
NPI 1285505412
Occupational Therapist in Jacksonville, FL
About Mrs. Erica Davalt Destephano Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ERICA DAVALT DESTEPHANO OT (NPI 1285505412) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (OT14367) and active in the NPI registry since September 2025. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Erica Davalt Destephano Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Erica Destephano's NPI number?
The NPI number for Erica Destephano is 1285505412. It was assigned to this individual provider in the NPPES registry on September 12, 2025.
Where is Erica Destephano located?
Erica Destephano practices at 1050 N Davis St, Jacksonville, FL 32209. The listed phone number is (904) 355-0155.
What is Erica Destephano's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Erica Destephano enrolled in Medicare?
Yes. Erica Destephano is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Erica Destephano was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.