Sensational Occupational Therapy,LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12817 Issued in FL

Legal business name

SENSATIONAL OCCUPATIONAL THERAPY,LLC

Practice address

4829 Innisbrook CT S
Elkton, FL 32033-2067

Phone

(904) 557-8972

NPI assigned

Sep 29, 2008

Last updated

Sep 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda August, M.S. OTR/L

Title

Occupational Therapist

Phone

(904) 557-8972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1407006232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 INNISBROOK CT S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332067",
            "telephone_number": "904-557-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 INNISBROOK CT S",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332067",
            "telephone_number": "904-557-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL OCCUPATIONAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "AUGUST",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "904-557-8972",
        "authorized_official_credential": "M.S. OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "12817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Elkton, FL
• Providers in Elkton, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.