National Provider Identifier (NPI)
340 Boatner Rd, Eglin Afb, FL 32542-1391
Overview
Debra Sjohn Secrest is a Occupational Therapist practicing in Eglin Afb, Florida. The National Provider Identifier (NPI) is #1649205147, which was assigned on July 12, 2006, and the registration record was last updated on January 12, 2024. The practitioner's main practice location is at 340 Boatner Rd, Eglin Afb, FL 32542-1391; the contact telephone number is 8508838313. The primary taxonomy of Debra Sjohn Secrest is Occupational Therapist (225X00000X). Debra Sjohn Secrest is licensed to practice in the state of Georgia (#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.
Provider Information
| NPI | 1649205147 |
| Entity Type | Individual |
| Provider Name | DEBRA SJOHN SECREST |
| Gender | Female |
| Credential | OCCUPATIONAL THERAPI |
| Practice Address | 340 Boatner Rd Eglin Afb FL 32542-1391 |
| Practice Telephone | 8508838313 |
| Mailing Address | 340 Boatner Rd Eglin Afb FL 32542-1391 |
| Mailing Telephone | 8508838313 |
| Certification Date | 2024-01-12 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-01-12 |
| Is Sole Proprietor | N |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT004217 | GA |
Secondary Practice Locations
| Address | Telephone | Fax |
|---|---|---|
| 113 Lielmanis Ave, Hurlburt Field, FL 325445613 | 8508838313 |
Taxonomy Information
Primary Taxonomy
| Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| Classification | Occupational Therapist |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Definition: 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] |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Makayla Yoshimoto Ruzi | 835 Crater Lake Ave, Medford, OR 97504-6505 | Occupational Therapist | 2024-04-05 |
| Caitlin Atwood | 28 Newton St, Southborough, MA 01772-1215 | Occupational Therapist | 2024-04-04 |
| Emily O'Neil | 50 Gold Star Blvd, Worcester, MA 01606-2812 | Occupational Therapist | 2024-04-04 |
| Nicole Fernandez | 221 W Hallandale Beach Blvd, Hallandale Beach, FL 33009-5441 | Occupational Therapist | 2024-04-04 |
| Justin Fauder | 118 Outwater Ln, Garfield, NJ 07026-2629 | Occupational Therapist | 2024-04-04 |
| Kathryn Colleran Oommen | 1 Harvest Cir, Lincoln, MA 01773-3214 | Occupational Therapist | 2024-04-04 |
| Justine Thompson | 1440 S Euclid St, Anaheim, CA 92802-2156 | Occupational Therapist | 2024-04-05 |
| Playful Path Therapy | 4079 Yellow Ginger Gln, Peachtree Corners, GA 30092-5149 | Occupational Therapist | 2024-04-05 |
| Ot-Integrations, LLC | 185 Mannington St, Kalispell, MT 59901-8842 | Occupational Therapist | 2024-04-05 |
| Christine Stewart · Christine Slocombe | 16 Dr Foote Rd Unit 4, Colchester, CT 06415-1537 | Occupational Therapist | 2024-04-04 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 340 BOATNER RD |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1391 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amelia Lane Baker | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | General Practice Physician | 2018-04-03 |
| Jason Melvin | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Certified Registered Nurse Anesthetist | 2021-07-28 |
| Katie Lou Matteuzzi · Katie Lou Priestley | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Emergency Medicine Physician | 2019-03-19 |
| Stephanie Frierson Rios | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Pharmacist | 2023-04-03 |
| Elisabeth Hope Wynia Hwang | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Student in an Organized Health Care Education/Training Program | 2020-03-23 |
| Jeremy Carmical | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2020-01-09 |
| Kyle Olsen | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Family Medicine Physician | 2020-03-12 |
| Danielle Lawton | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Clinical Nurse Specialist | 2023-10-13 |
| Tracy Lee Adams | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Clinical Social Worker | 2022-02-12 |
| Hayley Karr | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | Medical Physician Assistant | 2022-01-18 |
| Find all providers in the same location | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Edward Joseph Trouy | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Student in an Organized Health Care Education/Training Program | 2009-06-16 |
| Karl Patrick Day | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-04-17 |
| Heather Elizabeth Johnson | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-04-15 |
| Angelica Carmen Worsham | 307 Boatner Rd, Eglin Afb, FL 32542-1391 | Medical Physician Assistant | 2009-10-05 |
| James Jennings | 307 Boatner Rd, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-05-13 |
| Amanda Eitel Ramsey | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-04-28 |
| Daniel Alan Reid | 350 Boatner Rd, Eglin Afb, FL 32542-1391 | General Practice Dentistry | 2017-08-02 |
| Diane Marie Abel | 307 Boatner Rd, Eglin Main Pharmacy, Eglin Afb, FL 32542-1391 | Pharmacist | 2008-05-06 |
| Jennifer Lynn Pope | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-04-15 |
| Michele Suzanne Edmond | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | Independent Duty Medical Technicians | 2009-04-14 |
| Find all providers in the same zip code | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Quincy G. Hall | Eglin Air Force Base, 728th Acs, Apo, AP 32542 | Independent Duty Medical Technicians | 2009-05-22 |
| Individual Provider | 307 Boatner Road Suite 114, 96th Medical Group, Eglin, FL 32542 | Military Hospital | 2012-08-09 |
| William L Newman | 101 Griffin Way, Eglin Afb, FL 32542 | Independent Duty Medical Technicians | 2009-05-13 |
| Toni Lee Mowrer | 1 Ash Drive, 2829 Bldg, Eglin Afb, FL 32542 | Occupational Therapy Assistant | 2022-06-13 |
| Russell David Bienias | 96th Dental Squadron (afmc), Eglin Afb, FL 32542 | General Practice Dentistry | 2011-06-28 |
| Martin Army Community Hospital · 7th Special Forces-Tmc 9-Eglin | 4327 North El Salvador Way, Eglin Afb, FL 32542 | Military/U.S. Coast Guard Outpatient Clinic/Center | 2011-09-02 |
| Izabela Villalonga | 310 W. Van Matre Ave, Eglin Afb, FL 32542 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2008-05-26 |
| Joshua Douglas Stephenson | 3051 Blake Street, Duke Field, FL 32542 | Paramedic | 2009-05-18 |
| 96th Medical Support Squadron · Dod Eglin Ephcy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | Military/U.S. Coast Guard Pharmacy | 2014-06-02 |
| Paul R Patterson | Bldg 4315 El Salvador Way, Eafb, FL 32542 | Physician Assistant | 2007-01-25 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nicole Secrest | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | Registered Nurse | 2016-06-14 |
| Kay K Secrest | 316 Steele St, Algoma, WI 54201-1265 | Chiropractor | 2006-06-09 |
| Kendra R Secrest | 4750 Collegiate Dr, Panama City, FL 32405-1000 | Surgical Critical Care Physician | 2023-07-26 |
| Bradley N Secrest | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | Urology Physician | 2006-08-29 |
| Don E Secrest | 712 Graham Rd, Cuyahoga Falls, OH 44221-1041 | General Practice Dentistry | 2007-05-21 |
| Steven Secrest | 3206 Colorado Pl, Costa Mesa, CA 92626-2233 | Nuclear Medicine Technology Radiologic Technologist | 2015-12-18 |
| Zoe Secrest | 8755 Aero Dr Ste 230, San Diego, CA 92123-1750 | Counselor | 2022-07-11 |
| Amanda Jo Secrest | 450 Warren Ave, Washington Court House, OH 43160-2442 | Registered Nurse | 2021-08-09 |
| Don E Secrest Dds Inc | 712 Graham Rd, Cuyahoga Falls, OH 44221-1041 | General Practice Dentistry | 2006-07-30 |
| Sjohn Watson | 9060 Andermatt Dr, Suite 107, Lincoln, NE 68526-9644 | Internist Chiropractor | 2011-04-13 |
Improve Information
Do you have more infomration about Debra Sjohn Secrest? Please fill in the following form.
Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
