Active NPI
Santresa M Odum, OTR
- Occupational Therapist
- West Palm Beach, FL
National Provider Identifier
1679907588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15553
- Practice address
- 2170 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6602 - Phone
- (561) 683-3333
- NPI assigned
- Aug 27, 2013
- Reactivated
- Aug 15, 2023
- 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 | OT15553 | FL | Primary |
Addresses
Primary practice location
2170 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6602
Mailing address
6907 Runner Oak Dr
Wesley Chapel, FL 33545
Phone (561) 373-2639
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
279 NW California Blvd
Port Saint Lucie, FL 34986-2507
Phone (786) 770-9480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Occupational Therapist | Current | Accepting new patients |
| Strength and Balance Institute | Occupational Therapist | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
Organizations & group practices 2
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.
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
Occupational Therapist
-
- Physical Therapist
- Aventura, FL
- NPI 1164077947
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1679907588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 RUNNER OAK DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33545",
"telephone_number": "561-373-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 PALM BEACH LAKES BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096602",
"telephone_number": "561-683-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUM",
"first_name": "SANTRESA",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2023-08-15",
"certification_date": "2022-09-01",
"deactivation_date": "2022-09-01",
"reactivation_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.