Active NPI
Tiffany Foster Sanson, OTRL
- Occupational Therapist
- Palmetto, FL
National Provider Identifier
1669527255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 12001
- Practice address
- 410 10TH Ave W
Palmetto, FL 34221-5032 - Phone
- (941) 722-3582
- Fax
- (941) 729-8322
- NPI assigned
- Jan 24, 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 12001 | FL | Primary |
Addresses
Primary practice location
410 10TH Ave W
Palmetto, FL 34221-5032
Mailing address
410 10TH Ave W
Palmetto, FL 34221-5032
Phone (941) 722-3582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890779000 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 12001 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1669527255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 10TH AVE W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215032",
"telephone_number": "941-722-3582",
"fax_number": "941-729-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 10TH AVE W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215032",
"telephone_number": "941-722-3582",
"fax_number": "941-729-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSON",
"first_name": "TIFFANY",
"middle_name": "FOSTER",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 12001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890779000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.