Active NPI
Tammy L Green, OTR
- Occupational Therapist
- Indian Harbour Beach, FL
National Provider Identifier
1285919951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3318
- Practice address
- 2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566 - Phone
- (321) 773-8989
- Fax
- (321) 773-8990
- NPI assigned
- Oct 13, 2011
- Last updated
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3318 | FL | Primary |
Addresses
Primary practice location
2040 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-3566
Mailing address
110 Martesia Way
Indian Harbour Beach, FL 32937-3569
Phone (321) 543-8026
Other names 1
- Tammy L Shelar
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTS Staffing LLC | Past | Accepting new patients |
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
- Merritt Island, FL
- NPI 1205037793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1285919951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MARTESIA WAY",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329373569",
"telephone_number": "321-543-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 HIGHWAY A1A STE 203",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329373566",
"telephone_number": "321-773-8989",
"fax_number": "321-773-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TAMMY",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT3318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "SHELAR",
"middle_name": "L",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.