Trisha Samantha Sundberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21738 Issued in FL

Practice address

7015 Beracasa Way Ste 102
Boca Raton, FL 33433-3453

Phone

(561) 939-2033

Fax

(561) 939-2037

NPI assigned

Apr 15, 2021

Sex

Female

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

Enrolled in FL

Enrollment records 1

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.

• First Time Learners Pediatric Therapy Inc

  • Occupational Therapist
  • Pompano Beach, FL
  • NPI 1538989652
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1124609854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 LYONS PARK DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608712",
            "telephone_number": "954-330-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 BERACASA WAY STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333453",
            "telephone_number": "561-939-2033",
            "fax_number": "561-939-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "961 Lyons Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330608712",
            "country_code": "US",
            "telephone_number": "954-330-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "TRISHA",
        "middle_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Care LLC
• Sun Team Florida Inc.
• Sun Wellness Group
• Sunbelt Pharmacy and Discount Corp
• Suncoast Pharmacy
• Sunflower Care Center
• Sunlight Detox, Inc.
• Sunlight Medical Group, LLC
• Sunlight Medical LLC
• Sunlight Recovery, Inc

• Occupational Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.