Southern Occupational Therapy Products Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT1145 Issued in FL

Legal business name

SOUTHERN OCCUPATIONAL THERAPY PRODUCTS INC

Practice address

690 Jensen Beach Blvd
Jensen Beach, FL 34957-4750

Phone

(772) 708-3751

Fax

(772) 225-0843

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Caron Alice Faherty, MS, OTR, CSFA

Title

President

Phone

(772) 708-3751

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1760639066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574750",
            "telephone_number": "772-708-3751",
            "fax_number": "772-225-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574750",
            "telephone_number": "772-708-3751",
            "fax_number": "772-225-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCCUPATIONAL THERAPY PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "FAHERTY",
        "authorized_official_first_name": "CARON",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-708-3751",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR, CSFA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "OT1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.