Individual provider Active NPI

Kristine A Secrest, OTRL

  • Occupational Therapist
  • Altamonte Springs, FL
National Provider Identifier
1912006057
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2762 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260516000543 FL Practitioner - Occupational Therapist in Private Practice 5294204459 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0002762FLMDOccupational Therapist
OT2762FLMDOccupational 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.

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.

Verify at the official NPI Registry.