Active NPI
Scott W Sitterson
- Occupational Therapist
- Estero, FL
National Provider Identifier
1710167267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- FL 9125
- Practice address
- 21301 S Tamiami TRL Ste 130
Estero, FL 33928-2943 - Phone
- (239) 947-5616
- Fax
- (239) 946-9606
- NPI assigned
- Nov 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | FL 9125 | FL | Primary |
Addresses
Primary practice location
21301 S Tamiami TRL Ste 130
Estero, FL 33928-2943
Mailing address
501 Keenan Ave
Fort Myers, FL 33919-3108
Phone (239) 994-0966
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL 9125 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain & Rehab Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Estero, FL
- NPI 1174747489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1710167267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 KEENAN AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339193108",
"telephone_number": "239-994-0966",
"fax_number": "239-437-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21301 S TAMIAMI TRL STE 130",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282943",
"telephone_number": "239-947-5616",
"fax_number": "239-946-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITTERSON",
"first_name": "SCOTT",
"middle_name": "W",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "FL 9125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
- Sara Maria Sidaoui, RPH
- Kaylie Lynne Siedow
- Sievers and Company, LLC (Teresa A. Siever, MD)
- Michael Aaron Sills, D.C.
- Dante Simmons, PHARMD
- Karen Slater, MD.
- Sleep & Apnea Institute of Florida PLLC
- Sleep Disorder Center of Estero, LLC
- Sleep Medicine Specialists of Southwest FL P.a.
- Gesenia S Sloan-Pena, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.