Savannah Faith Thompson, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT24333 Issued in FL

Practice address

1305 N Orange Ave Ste 118
Green Cove Springs, FL 32043-2553

Phone

(904) 531-5500

Fax

(904) 637-1532

NPI assigned

Aug 15, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1356124168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CALMING WATER DR UNIT 2203",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033466",
            "telephone_number": "352-443-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ORANGE AVE STE 118",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432553",
            "telephone_number": "904-531-5500",
            "fax_number": "904-637-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SAVANNAH",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Emerald Sweeting, DNP, DBA, MSN, RN
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• Sabrina Tillman
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• Diane Marie Tolosky, RPH

• Occupational Therapist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.