Sandra J Baumstark, MOTR, L,MPH

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8614 Issued in FL

Practice address

3591 N Lecanto Hwy
Beverly Hills, FL 34465-3503

Phone

(352) 527-5433

Fax

(352) 527-4199

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Medical Center of Lecanto,Inc

  dba Kinnard Chiropractic

  • Chiropractor
  • Inverness, FL
  • NPI 1386613180
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306864004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653503",
            "telephone_number": "352-527-5433",
            "fax_number": "352-527-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653503",
            "telephone_number": "352-527-5433",
            "fax_number": "352-527-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMSTARK",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "MOTR, L,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT8614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887579100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "38954",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R.R. GROUP #",
            "identifier": "C12867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Shyann Bailey
• Jilka Barrantes, STUDENT INTERN
• Rose Marie Bascos, LCSW, CAP
• Denise Bassett, BA
• Cecilia E Bato, MSN CCRN ACNP ARNP
• Gauruv Bedi, MD
• Adelle Rae Bellamy
• Beverly Hills Foot and Ankle, P.a.
• Bhavesh Bhakta
• Leena Binus

• Occupational Therapist in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.