Summer Sellers Forbes, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT23151 Issued in FL

Practice address

1690 US Highway 1 S Ste F
St Augustine, FL 32084-6024

Phone

(904) 634-0640

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Orthopedic Specialists LLCGroup PAC ID 1456246974, 144 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.75 of 100Reported as group

Quality

88.19

Promoting interoperability

100

Improvement activities

40

Cost

80.96

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Southeast Orthopedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1629025820
  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1649380064
  Medicare reassignment NPD
• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  Medicare reassignment NPD
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Jensen Beach, FL
  • NPI 1265724330
  NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  NPD
• Southeast Orthopedic Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • St Johns, FL
  • NPI 1538952379
  NPD
• Center for Orthopedic Research and Education, LLC

  dba The CORE Institute

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1932848710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 EBRO RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320849014",
            "telephone_number": "770-289-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 US HIGHWAY 1 S STE F",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846024",
            "telephone_number": "904-634-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Riverside Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044717",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Centurion Pkwy N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565004",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "SUMMER",
        "middle_name": "SELLERS",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FM Medical Inc
• FM Medical Urgent Care, Inc.
• Focused Mens Health Care Inc
• William Francis Foody Jr., M.D.
• Phillip Forbes, DDS
• Angela Annette Ford, PTA
• Sara Foreman
• Daneillia Forester
• Sheryl Lynn Forster, CRNA
• Dianalynne E Fortin, LMT

• Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.