Carli Jessica Immerman, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT18918 Issued in FL

Practice address

9508 Griffin Rd
Cooper City, FL 33328-3416

Phone

(954) 689-0730

Fax

(888) 725-9013

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

Yes

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)

Not 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.

• Language Link Therapy, Inc.

  • Speech-Language Pathologist
  • Cooper City, FL
  • NPI 1710122593

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1154839538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283416",
            "telephone_number": "954-689-0730",
            "fax_number": "888-725-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283416",
            "telephone_number": "954-689-0730",
            "fax_number": "888-725-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMERMAN",
        "first_name": "CARLI",
        "middle_name": "JESSICA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT18918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min-Hsuan Hsieh, PHARMD
• Yaneisy Maria Hurtado
• John B Hylton, MD
• Ics Radiology, Inc
• Amanda Darlene Iglesias
• Inspire Health Care Services Inc.
• Alexander Diandre' Irby
• Elie Israel, D.D.S.
• Suzanne Sammons Jackson, PT
• Janet Levenson Raz, Psy.D., P.a.

• Pediatric Occupational Therapist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.