Sheri Nicole Conklin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23386 Issued in FL

Practice address

4809 Ehrlich Rd
Tampa, FL 33624-2073

Phone

(813) 374-0442

NPI assigned

Aug 9, 2022

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 identifiers 1

Electronic endpoints 1

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1619605573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 N LAKE PLEASANT RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123902",
            "telephone_number": "407-310-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 EHRLICH RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242073",
            "telephone_number": "813-374-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "SHERI",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "23386",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "address_1": "4809 Ehrlich Rd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336242073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corrine Ida Conklin
• Courtney Conklin, PA
• Eri Conklin
• Jason Conklin
• Regina Conklin
• Amy R Conley, MD
• Catherine Lyvers Conley, RN
• Sean Conley
• Willie Conley IV
• Allison Conlon Perry, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.