Active NPI
Sean Herrberg
- Occupational Therapist
- Winter Park, FL
National Provider Identifier
1821520990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT005290
- Practice address
- 925 S Semoran Blvd
Suite 110a
Winter Park, FL 32792-5313 - Phone
- (407) 961-6363
- NPI assigned
- Mar 29, 2017
- Last updated
- Mar 29, 2017
- Sex
- Male
- 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 | OT005290 | OH | Primary |
Addresses
Primary practice location
925 S Semoran Blvd
Suite 110a
Winter Park, FL 32792-5313
Mailing address
2146 Indian Ripple Rd
Xenia, OH 45385-9333
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 |
|---|---|---|---|
| OT005290 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1821520990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 INDIAN RIPPLE RD",
"city": "XENIA",
"state": "OH",
"postal_code": "453859333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD",
"address_2": "SUITE 110A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "407-961-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRBERG",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT005290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.