Active NPI
Kristine A Secrest, OTRL
- Occupational Therapist
- Altamonte Springs, FL
National Provider Identifier
1912006057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2762
- Practice address
- 990 N State Road 434 Ste 1128
Altamonte Springs, FL 32714-7061 - Phone
- (321) 842-3967
- Fax
- (321) 842-3968
- NPI assigned
- Sep 22, 2006
- Last updated
- May 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2762 | FL | Primary |
| Occupational Therapist | 225X00000X | 0002762 | FL |
Addresses
Primary practice location
990 N State Road 434 Ste 1128
Altamonte Springs, FL 32714-7061
Mailing address
990 N State Road 434 Ste 1128
Altamonte Springs, FL 32714-7061
Phone (321) 842-3967
Other practice location 1
1151 Blackwood Ave Ste 170
Ocoee, FL 34761-4523
Phone (407) 295-8890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Sligh Blvd
FL 3
Orlando, FL 32806-3901
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002762 | FL | MD | Occupational Therapist |
| OT2762 | FL | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1912006057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 N STATE ROAD 434 STE 1128",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147061",
"telephone_number": "321-842-3967",
"fax_number": "321-842-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 N STATE ROAD 434 STE 1128",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147061",
"telephone_number": "321-842-3967",
"fax_number": "321-842-3968"
}
],
"practiceLocations": [
{
"address_1": "1151 Blackwood Ave Ste 170",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347614523",
"country_code": "US",
"telephone_number": "407-295-8890",
"fax_number": "407-295-8876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SECREST",
"first_name": "KRISTINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT2762",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "0002762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.