Active NPI
Teri Jean Forkey II, OTR/L
- Occupational Therapist
- Cape Coral, FL
National Provider Identifier
1982975223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14957
- Practice address
- 216 Santa Barbara Blvd
Cape Coral, FL 33991-2031 - Phone
- (239) 242-8473
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | OT14957 | FL | Primary |
Addresses
Primary practice location
216 Santa Barbara Blvd
Cape Coral, FL 33991-2031
Mailing address
19196 Cypress View Dr
Fort Myers, FL 33967-4825
Phone (919) 282-6784
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT14957 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1982975223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19196 CYPRESS VIEW DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339674825",
"telephone_number": "919-282-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SANTA BARBARA BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339912031",
"telephone_number": "239-242-8473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKEY",
"first_name": "TERI",
"middle_name": "JEAN",
"name_suffix": "II",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.