Individual provider Active NPI

Jane Ellen Sendrovich, MS,OTR/L

  • Occupational Therapist
  • Vero Beach, FL
National Provider Identifier
1003247909
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 11012 Issued in FL
Practice address
2871 Saint Barts SQ
Vero Beach, FL 32967-7583
Phone
(772) 539-2373
Fax
(772) 584-3926
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 11012 FL Primary

Addresses

Primary practice location

2871 Saint Barts SQ
Vero Beach, FL 32967-7583

Mailing address

2871 Saint Barts SQ
Vero Beach, FL 32967-7583
Phone (772) 539-2373

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 11012FLMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1003247909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 SAINT BARTS SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329677583",
            "telephone_number": "772-539-2373",
            "fax_number": "772-584-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 SAINT BARTS SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329677583",
            "telephone_number": "772-539-2373",
            "fax_number": "772-584-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDROVICH",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 11012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.