Active NPI
Susan Lynn Rega
- Occupational Therapist
- Winter Haven, FL
National Provider Identifier
1760606826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12310
- Practice address
- 790 6TH St NW
Winter Haven, FL 33881-4013 - Phone
- (863) 229-8319
- Fax
- (863) 229-8492
- NPI assigned
- Apr 12, 2007
- Last updated
- Aug 27, 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 | OT12310 | FL | Primary |
Addresses
Primary practice location
790 6TH St NW
Winter Haven, FL 33881-4013
Mailing address
790 6TH St NW
Winter Haven, FL 33881-4013
Phone (863) 229-8319
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 |
|---|---|---|---|
| OT12310 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Steps, Inc. | Occupational Therapist | 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, 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": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1760606826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814013",
"telephone_number": "863-229-8319",
"fax_number": "863-229-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814013",
"telephone_number": "863-229-8319",
"fax_number": "863-229-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGA",
"first_name": "SUSAN",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.