Meira Charlee Buck, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Estero, FL

NPI 1245998640 · NPPES record last updated May 23, 2023

Key facts

NPI
1245998640
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT23356 (FL)
Practice address
9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305
Phone
(802) 323-7109
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT23356FLMDPediatric Occupational Therapist
OT4178MEMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Pediatric Therapy Network, Inc. Pediatrics Past
since Dec 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT4178 ME
Pediatric Occupational Therapist 225XP0200X OT23356 FL Yes

Addresses

Primary practice location

9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305

Mailing address

5158 Mina Cir Apt 303
Fort Myers, FL 33905-7867
Phone (802) 323-7109

Other identifiers

IdentifierTypeStateIssuer
116144300MedicaidFL

Other providers in Estero, FL

All providers in Estero, FL · Pediatric Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.