Crena Kersey Pediatric Occupational Therapist PA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CRENA KERSEY PEDIATRIC OCCUPATIONAL THERAPIST PA

Practice address

266 Kidd St
Fort Walton Beach, FL 32548-4478

Phone

(850) 582-2689

Fax

(850) 244-0971

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Carla Rena Kersey, OTR/LNPI 1699793554

Title

Director

Phone

(850) 582-2689

Specialties & licenses 1

Addresses

Tax ID family

Crena Kersey Pediatric Occupational Therapist PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Occupational Therapist PA

  • Early Intervention Provider Agency
  • Fort Walton Beach, FL
  • NPI 1972266104
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Rena Kersey, OTR/L

  • Pediatric Occupational Therapist
  • Fort Walton Beach, FL
  • NPI 1699793554
  NPD Authorized official
• Emily Jean Campbell, OTRL

  • Pediatric Occupational Therapist
  • Fort Walton Beach, FL
  • NPI 1962745646
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1508943820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KIDD ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484478",
            "telephone_number": "850-582-2689",
            "fax_number": "850-244-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KIDD ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484478",
            "telephone_number": "850-582-2689",
            "fax_number": "850-244-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENA KERSEY PEDIATRIC OCCUPATIONAL THERAPIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "KERSEY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-582-2689",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Cozma, P.T.
• Megan Craft
• Creative Orthotic & Prosthetic Services
• Jason Dean Creek, DPT
• Kimberly Creel
• Samuel D Critides Jr., MD
• Christian Crochet
• Victoria Cromwell
• Blair Crosby
• Gerardo Cruz, PA-C

• All providers in Fort Walton Beach, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.