IndividualActive
Ronald Coblentz
NPI 1083975262 · Occupational Therapy Assistant · Port Orange, FL
Provider details
- NPI number
- 1083975262
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 32001929A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5535 S Williamson Blvd
Ste 774
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Fax: (866) 426-2811
Street-level locationGet directions
Mailing address
2230 N Pennsylvania St
Indianapolis, IN 46205-4369
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.