Active NPI
Sena Gladys Mortey, OTR/L
- Rehabilitation Practitioner
- Palm Bay, FL
National Provider Identifier
1174619977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- OT9277
- Practice address
- 966 Siboney Street. NW
Palm Bay, FL 32907-1773 - Phone
- (321) 951-1863
- Fax
- (321) 951-1863
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | OT9277 | FL | Primary |
Addresses
Primary practice location
966 Siboney Street. NW
Palm Bay, FL 32907-1773
Mailing address
966 Siboney Street. NW
Palm Bay, FL 32907-1773
Phone (321) 951-1863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| III-D Therapy Services | Current | Accepting new patients | |
| Rehab Specialists East Coast | Past | Accepting new patients | |
| Naadom Therapy Services | Past | Accepting new patients | |
| New Horizonrehab | Past | Accepting new patients |
Locations
1350 Malabar Rd SE
Ste 2
Palm Bay, FL 32907
Phone (321) 345-4224
Organizations & group practices 4
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.
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- NPI 1003079617
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- Home Health Agency
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- NPI 1801096375
-
- Physical Therapist
- Melbourne, FL
- NPI 1235121088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174619977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 SIBONEY STREET. NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329071773",
"telephone_number": "321-951-1863",
"fax_number": "321-951-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 SIBONEY STREET. NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329071773",
"telephone_number": "321-951-1863",
"fax_number": "321-951-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTEY",
"first_name": "SENA",
"middle_name": "GLADYS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "FL",
"license": "OT9277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.