Fred J Sabback Jr., OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10871 Issued in FL

Practice address

5930 SW Archer Rd
Gainesville, FL 32608-4702

Phone

(352) 378-3858

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Morris Center

  • Developmental Disabilities Clinic/Center
  • Gainesville, FL
  • NPI 1013039213
  NPD (past)
• The Morris Center

  • School Psychologist
  • Gainesville, FL
  • NPI 1215320866
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1104035831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084702",
            "telephone_number": "352-332-2629",
            "fax_number": "352-283-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084702",
            "telephone_number": "352-378-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBACK",
        "first_name": "FRED",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Ann Ryles
• S-H Opco Gainesville, LLC
• S. Jason Pavlik
• Sa-PG-Gainesville LLC
• Shyamsunder Brindavan Sabat, M.D.
• Michelle Marie Sabino
• Alvaro Sabogal, RBT
• Robin J Sabra, PA
• Suhel Abbas Sabunwala, MD
• Usama Sabzwari, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.