Individual provider Active NPI

Kerri Hanger, OT

  • Occupational Therapist
  • Melbourne, FL
National Provider Identifier
1700231966
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25636 Issued in FL
Practice address
2517 Bernice CT
Melbourne, FL 32935-3468
Phone
(321) 536-4076
NPI assigned
Apr 25, 2016
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA11042 FL
Occupational Therapist 225X00000X OT25636 FL Primary

Addresses

Primary practice location

2517 Bernice CT
Melbourne, FL 32935-3468

Mailing address

2517 Bernice CT
Melbourne, FL 32935-3468
Phone (321) 536-4076

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

LicenseStateTypeSpecialty
OTA11042FLMDOccupational Therapy Assistant
OT25636FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Steps Pediatrics LLC Occupational Therapy Assistant Current Accepting new patients
Speech Innovations of Central Florida LLC Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1700231966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 BERNICE CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353468",
            "telephone_number": "321-536-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 BERNICE CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353468",
            "telephone_number": "321-536-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANGER",
        "first_name": "KERRI",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11042",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.