Active NPI
Shafranna Camille Abraham, OTR/L
- Physical Rehabilitation Occupational Therapist
- Lake Worth, FL
National Provider Identifier
1255733168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- A165783688340
- Practice address
- 10149 Oak Meadow LN
Lake Worth, FL 33449-5468 - Phone
- (954) 612-8206
- Fax
- (561) 642-3384
- NPI assigned
- Sep 23, 2014
- Last updated
- Sep 23, 2014
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | A165783688340 | FL | Primary |
Addresses
Primary practice location
10149 Oak Meadow LN
Lake Worth, FL 33449-5468
Mailing address
10149 Oak Meadow LN
Lake Worth, FL 33449-5468
Phone (954) 612-8206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165783688340 | FL | MD | Physical Rehabilitation Occupational Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Boca Raton, FL
- NPI 1689687055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1255733168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10149 OAK MEADOW LN",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495468",
"telephone_number": "954-612-8206",
"fax_number": "561-642-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10149 OAK MEADOW LN",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495468",
"telephone_number": "954-612-8206",
"fax_number": "561-642-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "SHAFRANNA",
"middle_name": "CAMILLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "A165783688340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
- A Sterling Clinic, LLC
- A1 Medical Supplies Inc (Natiowide Diabetic Suppliers)
- ABA Heroes Inc.
- Ableway Health
- Above All Medical Supply, Inc.
- Manuel Abreu, MD
- Acacia Living, LLC
- Accelerated Health Systems of Florida, LLC
- Accelerated Therapy & Rehabilitation Solutions,Inc.
- Accelerated Therapy Solutions Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.