Alice M Enault, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8245 Issued in FL

Practice address

250 Avenue K. SW
Suite 200
Winter Haven, FL 33880-3919

Phone

(863) 297-5400

Fax

(863) 293-8230

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alice M. Shaffer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Highlands Occupational Therapy, Inc

  • Occupational Therapist
  • Lakeland, FL
  • NPI 1356899397
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1275520249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AVENUE K. SW",
            "address_2": "SUITE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-293-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AVENUE K. SW",
            "address_2": "SUITE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-293-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAULT",
        "first_name": "ALICE",
        "middle_name": "M",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z043T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "SHAFFER",
            "middle_name": "M.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Embracing Hearts Home Care, LLC
• Emergency Care LLC
• Emergent Health Solutions LLC
• Emotional Wellness Therapy LLC
• Empower Support Services LLC
• Christopher Mark Englert, DPM
• Elizabeth Margaret Ennis, PA-C
• Larissa Ann Ensign, LCSW
• Arnold Epel, MD
• Janet G Ergle, CRNA

• Occupational Therapist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.