Active NPI
Kristina Jane Shipman, OT
- Occupational Therapist
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9855
- Practice address
- 2400 S Hwy 27
Clermont, FL 34711-6816 - Phone
- (352) 394-0212
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 9855 | FL | Primary |
Addresses
Primary practice location
2400 S Hwy 27
Clermont, FL 34711-6816
Mailing address
2400 S Hwy 27
Clermont, FL 34711-6816
Phone (352) 394-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887909500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 9855 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Lampert's Home Therapy, Inc. | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Central Florida Dreamplex LLC | Past | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304
9101 SW 24th St
Miami, FL 33165
Phone (305) 330-6698
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
-
- Occupational Therapist
- Largo, FL
- NPI 1265441810
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
-
- Pediatric Physical Therapist
- Clermont, FL
- NPI 1215017512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1598978116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "352-394-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "352-394-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN",
"first_name": "KRISTINA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 9855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887909500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
- Peter James Shekailo, M.D.
- Sheridan Healthcorp Inc
- Sheridan Healthcorp Inc
- Sheridan Healthcorp Inc
- Antonette Sherrill, COTA
- Melinda R Short-Russell, MSN, APRN, FNP-BC
- Julianna Short, IMT3737
- Donna Marie Shryock, LMHC
- Mariegielle Narcise Shumway, P.T.
- Sia-Specialty Infusion Apothecary Inc (Clermont Care Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.