Individual provider Active NPI

Sheri L. Etkowicz, MS, OTR/L

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1417291691
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012581 Issued in PA
Practice address
484 Riverside Ave
Jacksonville, FL 32202-4912
Phone
(904) 579-2824
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC012581 PA Primary

Addresses

Primary practice location

484 Riverside Ave
Jacksonville, FL 32202-4912

Mailing address

PO Box 932184
Atlanta, GA 31193-2184
Phone (856) 678-3484

Other practice location 1

7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Other names 1

  • Sheri L. Greenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121214000104 PA Practitioner - Occupational Therapist in Private Practice 1850543083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Extension Services, LLC Current Accepting new patients
H2 Rehabilitation Extension Services LLC CurrentSince Jul 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients

Locations

484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824

137 Montgomery Ave
Ste 205
Boyertown, PA 19512
Phone (484) 658-3150

7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1417291691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "856-678-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912",
            "telephone_number": "904-579-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031000",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETKOWICZ",
        "first_name": "SHERI",
        "middle_name": "L.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "GREENBERG",
            "middle_name": "L.",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.