Individual provider Active NPI

Sandra Lynn Feroce, OTR

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1245607084
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2515 Issued in FL
Practice address
4460 Hodges Blvd Apt 115
Jacksonville, FL 32224-5202
Phone
(850) 380-5679
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2515 FL
Occupational Therapist 225X00000X 2515 FL Primary

Addresses

Primary practice location

4460 Hodges Blvd Apt 115
Jacksonville, FL 32224-5202

Mailing address

4460 Hodges Blvd Apt 115
Jacksonville, FL 32224-5202
Phone (850) 380-5679

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

LicenseStateTypeSpecialty
2515FLMDOccupational Therapist
OT2515FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1245607084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 HODGES BLVD APT 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245202",
            "telephone_number": "850-380-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 HODGES BLVD APT 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245202",
            "telephone_number": "850-380-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROCE",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2515",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.