NPIMap

Organization Active NPI

Rooted Northeast Florida, LLC

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1841065794
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ROOTED NORTHEAST FLORIDA, LLC
Practice address
9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174
Phone
(904) 428-0990
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Sara SterlingNPI 1174880439
Title
Manager
Phone
(904) 464-1074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174

Mailing address

9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174
Phone (904) 428-0990

Other names 1

  • Nueva Vida Pelvic Floor Therapy and Women's Health Collective Doing business as

National Provider Directory

National Provider Directory

Locations

9521 Shellie Rd
Ste 11
Jacksonville, FL 32257
Phone (904) 428-0990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1841065794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576174",
            "telephone_number": "904-428-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576174",
            "telephone_number": "904-428-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED NORTHEAST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-464-1074"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nueva Vida Pelvic Floor Therapy and Women's Health Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.