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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Erica Davalt Destephano Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Erica Destephano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Erica Destephano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Destephano reassigns Medicare benefits to The Arc Jacksonville, Inc. (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Destephano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 13 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.