Debra L Poll

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201002598 Issued in MI

Practice address

12124 High Tech Ave
Ste 300
Orlando, FL 32817-8373

Phone

(407) 249-5452

Fax

(877) 217-9271

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra L Kladder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1538410253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 HIGH TECH AVE",
            "address_2": "STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178373",
            "telephone_number": "407-249-5452",
            "fax_number": "877-217-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 HIGH TECH AVE",
            "address_2": "STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178373",
            "telephone_number": "407-249-5452",
            "fax_number": "877-217-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLL",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "KLADDER",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vincent Polite
• John Peter Polites, MD
• Sharita Polius
• Christi Polk, LMFT
• Jessica Polka
• Lynda Pollack, M.D.
• Michael Allen Pollack, MD
• Elza Pollak-Christian, M.D.
• Akiva Pollak, M.D.
• Scott J Pollak, MD

• Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.