Active NPI
Sarah Stevenson, MS, OTR/L
- Pediatric Occupational Therapist
- Fort Walton Beach, FL
National Provider Identifier
1285225649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 21490
- Practice address
- 220 Eglin Pkwy SE
Fort Walton Beach, FL 32548-5899 - Phone
- (850) 200-4348
- Fax
- (850) 200-4350
- NPI assigned
- Jan 28, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 21490 | FL | Primary |
Addresses
Primary practice location
220 Eglin Pkwy SE
Fort Walton Beach, FL 32548-5899
Mailing address
208 S Pinehurst LN
Yorktown, IN 47396-9339
Phone (260) 446-4995
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21490 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Korner | Pediatrics | Current | Accepting new patients |
Locations
220 Eglin Pkwy SE
Fort Walton Beach, FL 32548
Phone (850) 200-4348
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1285225649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S PINEHURST LN",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969339",
"telephone_number": "260-446-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EGLIN PKWY SE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485899",
"telephone_number": "850-200-4348",
"fax_number": "850-200-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "SARAH",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "21490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.