Active NPI
Kareisha Sackaloo, OTD, OTR/L
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1174990519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17167
- Practice address
- 7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700 - Phone
- (321) 236-1381
- NPI assigned
- Sep 1, 2015
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17167 | FL | Primary |
Addresses
Primary practice location
7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700
Mailing address
7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700
Phone (321) 236-1381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17167 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head to Toe Kids Therapy, LLC | Past | 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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1366855579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1174990519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 LAKE ELLENOR DR",
"address_2": "SUITE 146",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328095700",
"telephone_number": "321-236-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 LAKE ELLENOR DR",
"address_2": "SUITE 146",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328095700",
"telephone_number": "321-236-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKALOO",
"first_name": "KAREISHA",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "17167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.