Active NPI
Sherene Townsend
- Occupational Therapy Assistant
- Lauderdale Lakes, FL
National Provider Identifier
1124917539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15045
- Practice address
- 3568 NW 24TH St
Lauderdale Lakes, FL 33311-2613 - Phone
- (754) 303-9657
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15045 | FL | Primary |
Addresses
Primary practice location
3568 NW 24TH St
Lauderdale Lakes, FL 33311-2613
Mailing address
3568 NW 24TH St
Lauderdale Lakes, FL 33311-2613
Phone (754) 303-9657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15045 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1124917539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3568 NW 24TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333112613",
"telephone_number": "754-303-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3568 NW 24TH ST",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333112613",
"telephone_number": "754-303-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "SHERENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.