Pediatric Occupational Therapist PA
NPI 1972266104 · Early Intervention Provider Agency · Fort Walton Beach, FL
Pediatric Occupational Therapist PA is a Early Intervention Provider Agency organization in Fort Walton Beach, FL (NPI 1972266104).
Provider details
- NPI number
- 1972266104
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carla Kersey, Occupational Therapist(850) 582-2689
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-14
- Last updated
- 2021-10-14
- Certified
- 2021-09-19
Frequently asked questions
- What is Pediatric Occupational Therapist PA's NPI number?
- Pediatric Occupational Therapist PA's National Provider Identifier (NPI) is 1972266104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Occupational Therapist PA?
- Pediatric Occupational Therapist PA is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Pediatric Occupational Therapist PA located?
- Pediatric Occupational Therapist PA's practice location on file with NPPES is 266 Kidd St, Fort Walton Beach, FL 32548-4478.
- What is Pediatric Occupational Therapist PA's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Occupational Therapist PA is (850) 582-2689.
- Who is the authorized official for Pediatric Occupational Therapist PA?
- The authorized official listed on Pediatric Occupational Therapist PA's NPPES record is Carla Kersey, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Occupational Therapist PA's NPI active?
- Yes — Pediatric Occupational Therapist PA's NPI (1972266104) is active in the NPPES registry as of the last update on 2021-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.