NPIMap

Individual provider Active NPI

Savannah W Coffey, MSOT, OTR/L

  • Pediatric Occupational Therapist
  • Palm Harbor, FL
National Provider Identifier
1902461387
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT20099 Issued in FL
Practice address
36430 US Highway 19 N
Palm Harbor, FL 34684-1330
Phone
(727) 330-0240
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XN1300X 312122 LA
Low Vision Occupational Therapist 225XL0004X OT20099 FL
Physical Rehabilitation Occupational Therapist 225XP0019X OT20099 FL
Pediatric Occupational Therapist 225XP0200X 20099 FL
Pediatric Occupational Therapist 225XP0200X 312122 LA
Pediatric Occupational Therapist 225XP0200X OT20099 FL Primary

Addresses

Primary practice location

36430 US Highway 19 N
Palm Harbor, FL 34684-1330

Mailing address

3213 Montrose Cir
Palm Harbor, FL 34684-1828
Phone (276) 608-8075

Other identifiers 1

IdentifierTypeStateIssuer
134675471OtherTNDRIVER'S LICENSE

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

LicenseStateTypeSpecialty
OT20099FLMDLow Vision Occupational Therapist
20099FLMDPediatric Occupational Therapist
312122LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel to Achieve OT Single Specialty CurrentSince Jan 28, 2024 Accepting new patients
Little Steps Florida LLC Pediatrics Past Accepting new patients
Wardell Interests, Inc Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1902461387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 MONTROSE CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841828",
            "telephone_number": "276-608-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36430 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-330-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "SAVANNAH",
        "middle_name": "W",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "LA",
            "license": "312122",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "FL",
            "license": "OT20099",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT20099",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "20099",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "312122",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT20099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "134675471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.