Individual provider Active NPI

Lauren Cheryl Sheridan, OTR/L

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1003442807
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT20736 Issued in FL
Practice address
5035 E Busch Blvd Ste 7
Tampa, FL 33617-5310
Phone
(813) 631-9700
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 OT20736 FL Primary

Addresses

Primary practice location

5035 E Busch Blvd Ste 7
Tampa, FL 33617-5310

Mailing address

5001 Bridge St Apt 4610
Tampa, FL 33611-3273
Phone (440) 840-8060

Other names 1

  • Miss Lauren Cheryl Palmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026001439 FL Practitioner - Occupational Therapist in Private Practice 1658791975 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT20736FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert'S Home Therapy, Inc. Occupational Therapist CurrentSince Nov 13, 2020 Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1003442807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BRIDGE ST APT 4610",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113273",
            "telephone_number": "440-840-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 E BUSCH BLVD STE 7",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175310",
            "telephone_number": "813-631-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "LAUREN",
        "middle_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PALMER",
            "middle_name": "CHERYL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.