Home Modification Design, LLC

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

License

OT7785 Issued in FL

Legal business name

HOME MODIFICATION DESIGN, LLC

Practice address

17 Pleasant Hill Drive
Debary, FL 32713

Phone

(407) 417-6031

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri Lynn Wilson, OTR/L, CAPS

Title

Owner

Phone

(407) 417-6031

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1083090807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PLEASANT HILL DRIVE",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "407-417-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PLEASANT HILL DRIVE",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "32713",
            "telephone_number": "407-417-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MODIFICATION DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-417-6031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CAPS"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "FL",
            "license": "OT7785",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "OT7785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Hill
• Samantha Hindman, LMHC
• Katherine Hnatkiewicz
• Justin Lee Hoeck, LMHC, NCC
• Tara Holcomb
• Elissa Leigh Howe, OTR/L
• Kevin D. Huffman, D.O.
• Humberto a Dominguez MD PA
• Shermaine Humphrey
• Shawneece Evangellette Hunt

• Occupational Therapist in Debary, FL
• Providers in Debary, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.