Active NPI
Ginger Enderby
- Low Vision Occupational Therapist
- Alva, FL
National Provider Identifier
1417735796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- OT18720
- Practice address
- 3881 Packinghouse Rd
Alva, FL 33920-4055 - Phone
- (239) 560-8591
- NPI assigned
- Sep 19, 2023
- Last updated
- Sep 19, 2023
- 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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | OT18720 | FL | Primary |
Addresses
Primary practice location
3881 Packinghouse Rd
Alva, FL 33920-4055
Mailing address
3881 Packinghouse Rd
Alva, FL 33920-4055
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1417735796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3881 PACKINGHOUSE RD",
"city": "ALVA",
"state": "FL",
"postal_code": "339204055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3881 PACKINGHOUSE RD",
"city": "ALVA",
"state": "FL",
"postal_code": "339204055",
"telephone_number": "239-560-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDERBY",
"first_name": "GINGER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "FL",
"license": "OT18720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alva, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.