Active NPI
Sharma Jo Privett
- Occupational Therapist
- Palm Bay, FL
National Provider Identifier
1326387226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 14356
- Practice address
- 540 Port Malabar Blvd NE
Palm Bay, FL 32905-4407 - Phone
- (321) 614-5244
- NPI assigned
- Feb 12, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 14356 | FL | Primary |
| Occupational Therapist | 225X00000X | 804 | SC | |
| Occupational Therapist | 225X00000X | 31005385A | IN |
Addresses
Primary practice location
540 Port Malabar Blvd NE
Palm Bay, FL 32905-4407
Mailing address
540 Port Malabar Blvd NE
Palm Bay, FL 32905-4407
Phone (321) 614-5244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 14356 | FL | MD | Occupational Therapist |
| 31005385A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1326387226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 PORT MALABAR BLVD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054407",
"telephone_number": "321-614-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PORT MALABAR BLVD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054407",
"telephone_number": "321-614-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETT",
"first_name": "SHARMA",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 14356",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "804",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005385A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
- Prestige Place Alf LLC
- Prestige Place Alf LLC
- Nadine Price
- Prime Movers Rehab, Inc.
- Coralie Prince, RN
- Vikash Priyadarshi, MD
- Proclaim Communication and Rehabilitation Services, LLC
- Professional Dental Alliance of Bayside Lakes, PLLC (New Image Dentistry Bayside Lakes)
- Professional Dental Alliance of Minton, PLLC (New Image Dentistry Minton)
- Professional Dental Alliance of Palm Bay Palm Bay Rd, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.