Active NPI
Shirley Webb, COTA
- Occupational Therapy Assistant
- Wildwood, FL
National Provider Identifier
1831730506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 12288
- Practice address
- 1477 Huey St
Wildwood, FL 34785-4233 - Phone
- (352) 251-3902
- NPI assigned
- Oct 3, 2019
- 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 Therapy Assistant | 224Z00000X | 12288 | FL | Primary |
Addresses
Primary practice location
1477 Huey St
Wildwood, FL 34785-4233
Mailing address
11078 SE 168TH Loop
Summerfield, FL 34491-1885
Phone (843) 442-3211
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 |
|---|---|---|---|
| 12288 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1831730506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11078 SE 168TH LOOP",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344911885",
"telephone_number": "843-442-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 HUEY ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347854233",
"telephone_number": "352-251-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "SHIRLEY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "12288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, FL
- Villagegate Care Collective Corporation
- Vannesa Joy Tarectecan Villegas
- Visionary Eye Care of Central Florida, Inc
- Vizavee Urgent & Primary Care, LLC
- Kira Nicole Weaver, PHARM D.
- Wellness by Physicians, Inc.
- West Florida Medical Associates, PA
- Mary Margaret Wheeler, LCSW
- Wildwood Family Psychiatry, PLLC
- Wildwood Hearing LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.