Active NPI
Sheila Marie Flaherty, LR OT CHT
- Occupational Therapist
- Port Charlotte, FL
National Provider Identifier
1184777583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT601
- Practice address
- 4161 Tamiami TRL
Unit 101
Port Charlotte, FL 33952-9204 - Phone
- (941) 625-0984
- Fax
- (941) 625-0877
- NPI assigned
- Jan 19, 2007
- 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 | OT601 | FL | Primary |
Addresses
Primary practice location
4161 Tamiami TRL
Unit 101
Port Charlotte, FL 33952-9204
Mailing address
175 Kings Hwy
Apt 10C3
Punta Gorda, FL 33983-5291
Phone (941) 629-0390
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4639456 | Other | FL | AETNA |
| DE0219 | Other | FL | RR MEDICARE |
| 77674 | Other | FL | BCBS |
| 0T601 | Other | FL | PROVIDER LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT601 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest-Port Charlotte LLC | Current | Accepting new patients | |
| Charlotte Orthopaedic Clinic Professional Association | Past | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700
4161 Tamiami Trl
Ste 103
Pt Charlotte, FL 33952
Phone (941) 743-6700
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1679761696
-
- Orthopaedic Surgery Physician
- Port Charlotte, FL
- NPI 1952350977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1184777583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 KINGS HWY",
"address_2": "APT 10C3",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339835291",
"telephone_number": "941-629-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 TAMIAMI TRL",
"address_2": "UNIT 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339529204",
"telephone_number": "941-625-0984",
"fax_number": "941-625-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAHERTY",
"first_name": "SHEILA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LR OT CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4639456",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE0219",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "77674",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENSE",
"identifier": "0T601",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.