Active NPI
Sarah Frederick, OTR/L
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1982151726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18010
- Practice address
- 3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7180 - Phone
- (859) 760-1785
- NPI assigned
- Sep 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT18010 | FL | Primary |
Addresses
Primary practice location
3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7180
Mailing address
12012 Ledgewood Cir
Fort Myers, FL 33913-7904
Phone (859) 760-1785
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1982151726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 LEDGEWOOD CIR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339137904",
"telephone_number": "859-760-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 CLEVELAND AVE",
"address_2": "SUITE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017180",
"telephone_number": "859-760-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "SARAH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.