Linda Ann Pendergast Tory

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16723 Issued in FL

Practice address

10019 Eagle Bend Dr
Hudson, FL 34667-5556

Phone

(586) 873-9687

NPI assigned

Jun 7, 2019

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

Other identifiers 1

Other names 1

• Linda Pendergast, Solecki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1134788748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 EAGLE BEND DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346675556",
            "telephone_number": "586-873-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 EAGLE BEND DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346675556",
            "telephone_number": "586-873-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORY",
        "first_name": "LINDA",
        "middle_name": "ANN PENDERGAST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENCE",
            "identifier": "OT16723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PENDERGAST, SOLECKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.