Active NPI
Laura Davidson Aeder, MSOT
- Pediatric Occupational Therapist
- Newberry, FL
National Provider Identifier
1386833416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT12904
- Practice address
- 12226 W University Ave
Newberry, FL 32669-3001 - Phone
- (352) 226-8386
- NPI assigned
- Oct 15, 2007
- Last updated
- Aug 25, 2010
- 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 | OT12904 | FL | Primary |
Addresses
Primary practice location
12226 W University Ave
Newberry, FL 32669-3001
Mailing address
12226 W University Ave
Newberry, FL 32669-3001
Phone (352) 226-8386
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 |
|---|---|---|---|
| OT12904 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1386833416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12226 W UNIVERSITY AVE",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326693001",
"telephone_number": "352-226-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12226 W UNIVERSITY AVE",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326693001",
"telephone_number": "352-226-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AEDER",
"first_name": "LAURA",
"middle_name": "DAVIDSON",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT12904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberry, FL
- 1St Choice Primary Care LLC
- 1St Choice Urgent Care Center LLC (1st Choice Primary Care)
- 1St Choice Urgent Care Center LLC
- Angela N K Adu Siaw
- Advanced Pain Medicine of North Florida LLC (Advanced Pain Medical Center)
- Aimee Lynn Alford
- Avery Partners, Inc (Avery Rehabilitation)
- Avery Partners, Inc (Avery Rehab Newberry)
- Axiom Dental Laboratories LLC
- Rachel E Babston, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.