Individual provider Active NPI

Sally Elaine Thimm, OTR

  • Neurorehabilitation Occupational Therapist
  • Venice, FL
National Provider Identifier
1144356320
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OT4376 Issued in FL
Practice address
425 Commercial CT
#100
Venice, FL 34292-1642
Phone
(941) 228-3562
Fax
(941) 492-2020
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X OT4376 FL Primary

Addresses

Primary practice location

425 Commercial CT
#100
Venice, FL 34292-1642

Mailing address

5865 Harrison Rd
Venice, FL 34293-6835
Phone (941) 228-3562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110819000482 FL Practitioner - Occupational Therapist in Private Practice 8224931290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4376FLMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Case Management of Southwest FL Neurorehabilitation CurrentSince May 22, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1144356320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 HARRISON RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342936835",
            "telephone_number": "941-228-3562",
            "fax_number": "941-492-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COMMERCIAL CT",
            "address_2": "#100",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921642",
            "telephone_number": "941-228-3562",
            "fax_number": "941-492-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMM",
        "first_name": "SALLY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "OT4376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.