Individual provider Active NPI

Sharon Sanduski McDougall, MA OTR/L

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1740612886
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16685 Issued in FL
Practice address
5741 Parkview Point Dr
Orlando, FL 32821-7963
Phone
(818) 268-2614
Fax
(805) 496-9301
NPI assigned
Jul 31, 2013
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT8002 CA
Occupational Therapist 225X00000X OT16685 FL Primary

Addresses

Primary practice location

5741 Parkview Point Dr
Orlando, FL 32821-7963

Mailing address

3212 Hillsdale LN
Kissimmee, FL 34741-7562
Phone (407) 906-9003

Other names 1

  • Sharon Linda Sanduski Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT8002CAMDOccupational Therapist
OT16685FLMDOccupational Therapist
8002CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nucare Therapy LLC CurrentSince Oct 28, 2022 Accepting new patients

Locations

3212 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 906-9003

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, 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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1740612886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-906-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 PARKVIEW POINT DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217963",
            "telephone_number": "818-268-2614",
            "fax_number": "805-496-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "SHARON",
        "middle_name": "SANDUSKI",
        "credential": "MA OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8002",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SANDUSKI",
            "middle_name": "LINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.