Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Debra Sjohn Secrest , OCCUPATIONAL THERAPI

Occupational Therapist β€’ Eglin Afb, FL

Active NPI 1649205147 Individual Practitioner Female Practitioner
Practice location in NPPES

340 Boatner Rd
Eglin Afb, FL 325421391

Call 8508838313 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

340 Boatner Rd

Eglin Afb, FL 325421391

Telephone 8508838313
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hurlburt Field, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eglin Afb and Florida

7 active clinicians are listed under Occupational Therapist with a practice address in Eglin Afb, FL (7,933 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-12
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES GA OT004217

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

113 Lielmanis Ave

Hurlburt Field, FL 325445613

Phone: 8508838313

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Amanda Dunn , PT, DPT

Physical Therapist - Orthopedic

NPI 1124566369

Physical Therapist, Doctor of Physical Therapy

Dr. Ryan Kauffman , DPT

Physical Therapist

NPI 1710485743

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 12, 2024

Registered at 340 BOATNER RD, EGLIN AFB, FL 325421391 (Tel: 8508838313)

πŸ“
Updated Business Mailing Address January 12, 2024

Registered at 340 BOATNER RD, EGLIN AFB, FL 325421391 (Tel: 8508838313)

πŸ“
Updated Practice Location August 24, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236 (Tel: 2102925040)

βœ…
NPI Profile Active January 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 07, 2014

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533100)

πŸ“
Business Mailing Address (Initial Record) January 07, 2014

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026533100)

πŸ‘€
Provider Name / Credentials (Initial Record) January 07, 2014

Recorded as DEBRA SECREST, OCCUPATIONAL THERAPI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2014

Occupational Therapist (license number reported to NPPES: GA OT004217)

🟒
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1649205147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: January 12, 2024
Sole Proprietor: No

Mailing Address

340 Boatner Rd

Eglin Afb, FL 325421391

Phone: 8508838313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.