Individual provider Active NPI

Sena Gladys Mortey, OTR/L

  • Rehabilitation Practitioner
  • Palm Bay, FL
National Provider Identifier
1174619977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
OT9277 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190326002467 FL Practitioner - Occupational Therapist in Private Practice 1355449315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
III-D Therapy Services CurrentSince Feb 13, 2023 Accepting new patients
Rehab Specialists East Coast Past Accepting new patients
Naadom Therapy Services Past Accepting new patients
New Horizonrehab PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.