ELZA SEDRAK (NPI# 1366955353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366955353 |
| Entity Type | Individual |
| Full Name | ELZA SEDRAK |
| Practice Address |
201 Thornberry Branch Ln Daytona Beach FL 32124-3652 |
| Practice Telephone | 3868724892 |
| Practice Fax Number | 3862562159 |
| Mailing Telephone | 3868724892 |
| Mailing Fax Number | 3862562159 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT18792 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 THORNBERRY BRANCH LN |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649452376 | Catherine S Brown | Physical Therapist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2007-12-05 |
| 1780228700 | Emily Bratek | Speech-Language Pathologist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-11-01 |
| 1336781889 | Marilyn Cimafranca | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-10-16 |
| 1578118394 | Ashley Mete | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-08-08 |
| 1457916215 | Matthew Omalley | Specialist/Technologist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-05-07 |
| 1710440276 | Lamesha Doushette Killins | Case Manager/Care Coordinator | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-04-11 |
| 1982169454 | Tim Valentine | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-02-08 |
| 1255816427 | Douglas Coney | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-10-03 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175588 | Kristina Kangas | Occupational Therapist | 615 S Palmetto Ave Unit 1, Daytona Beach, FL 32114-4925 | 2020-02-05 |
| 1356804116 | Katelyn Murphy | Occupational Therapist | 201 N Clyde Morris Blvd Ste 320, Daytona Beach, FL 32114-2724 | 2019-04-09 |
| 1750755500 | Caitlin Murphey | Occupational Therapist | 650 Reed Canal, Daytona Beach, FL 32119-3230 | 2015-11-17 |
| 1679800916 | Lorell Lynn Castellano | Occupational Therapist | 102 S Peninsula Dr, Unit 208, Daytona Beach, FL 32118-4478 | 2009-11-06 |
| 1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
| 1205462785 | Susann Marie Eisner | Occupational Therapist | 305 Memorial Medical Pkwy Ste 100, Daytona Beach, FL 32117-5169 | 2020-03-17 |
| 1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
| 1003316274 | Tyler Scott Lacertosa | Occupational Therapist | 201 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32114-2765 | 2018-02-14 |
| 1629589486 | Marina Berube | Occupational Therapist | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2017-10-19 |
| 1104359900 | Kirk Andrew Denning | Occupational Therapist | 201 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114-2724 | 2017-04-07 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.