Active NPI
Tamara Leigh Harrell, MA,OTR
- Hand Occupational Therapist
- Summerfield, FL
National Provider Identifier
1861763815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT123
- Practice address
- 14031 Del Webb Blvd
Summerfield, FL 34491-7957 - Phone
- (352) 433-0091
- NPI assigned
- Jan 23, 2012
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT123 | FL | Primary |
Addresses
Primary practice location
14031 Del Webb Blvd
Summerfield, FL 34491-7957
Mailing address
2608 S 16TH St
Fort Pierce, FL 34982-5717
Phone (813) 294-5253
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT123 | FL | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1861763815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 S 16TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349825717",
"telephone_number": "813-294-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14031 DEL WEBB BLVD",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344917957",
"telephone_number": "352-433-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "TAMARA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "MA,OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.