Victoria Lee Berry, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT18671 Issued in FL

Practice address

26 E Racetrack Road NE
Fort Walton Beach, FL 32547

Phone

(850) 543-2163

NPI assigned

Aug 9, 2017

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Victoria Lee Payne Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hand Center of the Emerald Coast, LLC.

  • Hand Occupational Therapist
  • Fort Walton Beach, FL
  • NPI 1194494476
  Medicare reassignment NPD Authorized official
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group NPD
• North Florida Surgeons, PA

  dba NFS Florida Bone and Joint

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1871442053
  NPD
• Kidz Korner

  • Pediatric Occupational Therapist
  • Niceville, FL
  • NPI 1568107746
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1922523018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RACETRACK RD NW",
            "address_2": "STE E",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471640",
            "telephone_number": "850-543-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E RACETRACK ROAD NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-543-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 S Ferdon Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365287",
            "country_code": "US",
            "telephone_number": "850-682-8388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Eglin Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485899",
            "country_code": "US",
            "telephone_number": "850-200-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OT18671",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PAYNE",
            "middle_name": "LEE",
            "credential": "MSOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Staci Behm, RN, BSN
• Alexander Ali Behzadi, MD
• Beltone NWF LLC
• Jessica Bennett, ARNP
• Jaclyn Berry
• Cassandra Lee Besabe, APRN FNP-BC
• Tiffany Rose Best, PT
• Hannah Leigh Betts, APRN, FNP-C
• Beverly Wilusz
• David T Beverly, D.M.D, M.S.D

• Occupational Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.