Debra Sjohn Secrest · 340 Boatner Rd, Eglin Afb, FL 32542-1391 · Occupational Therapist (2024)

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

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225X00000XOccupational TherapistOT004217GA

Secondary Practice Locations

AddressTelephoneFax
113 Lielmanis Ave, Hurlburt Field, FL 3254456138508838313

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 NameAddressTaxonomyEnumeration Date
Caitlin Atwood 28 Newton St, Southborough, MA 01772-1215Occupational Therapist2024-04-04
Ot-Integrations, LLC 185 Mannington St, Kalispell, MT 59901-8842Occupational Therapist2024-04-05
Megan Elizabeth Murphy 419 Waterford St, Edinboro, PA 16412-5517Occupational Therapist2024-04-05
Dana M Winter 353 Treasure Lk, Du Bois, PA 15801-9008Occupational Therapist2024-04-05
Jenna C Graziano 70 Lindsey Ln, Saint Marys, GA 31558-1635Occupational Therapist2024-04-04
Melanie Kaled · Melanie Sherman 1118 Charismatic Way, Colorado Springs, CO 80921-4328Occupational Therapist2024-04-05
Sophie Willems 150 Saint Andrews Ct Ste 310, Mankato, MN 56001-8805Occupational Therapist2024-04-04
Emely Garcia 2579 Ocean Ave, Brooklyn, NY 11229-4552Occupational Therapist2024-04-04
Emily O'Neil 50 Gold Star Blvd, Worcester, MA 01606-2812Occupational Therapist2024-04-04
Justine Thompson 1440 S Euclid St, Anaheim, CA 92802-2156Occupational Therapist2024-04-05
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Location Information

Street Address 340 BOATNER RD
City EGLIN AFB
State FL
Zip Code 32542-1391
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Elisabeth Hope Wynia Hwang 340 Boatner Rd, Eglin Afb, FL 32542-1391Student in an Organized Health Care Education/Training Program2020-03-23
Coleman Woody 340 Boatner Rd, Eglin Afb, FL 32542-1391Student in an Organized Health Care Education/Training Program2023-03-28
Anthony Joseph Donigian 340 Boatner Rd, Eglin Afb, FL 32542-1391General Practice Physician2021-04-22
Katie Lou Matteuzzi · Katie Lou Priestley 340 Boatner Rd, Eglin Afb, FL 32542-1391Emergency Medicine Physician2019-03-19
Whitney Nichole Eckstine 340 Boatner Rd, Eglin Afb, FL 32542-1391Independent Duty Medical Technicians2020-10-30
Megan M Berberich 340 Boatner Rd, Eglin Afb, FL 32542Family Medicine Physician2019-04-14
Brant William Bickford 340 Boatner Rd, Eglin Afb, FL 32542-1391Internal Medicine Physician2018-02-26
Brett Palmer 340 Boatner Rd, Eglin Afb, FL 32542-1391Military Health Care Provider2023-05-31
Alicia Marie Derkatch 340 Boatner Rd, Eglin Afb, FL 32542-1391Certified Registered Nurse Anesthetist2019-10-21
Amelia Lane Baker 340 Boatner Rd, Eglin Afb, FL 32542-1391General Practice Physician2018-04-03
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Erik Roger Smith 350 Boatner Rd, Eglin Afb, FL 32542-1391Student in an Organized Health Care Education/Training Program2023-04-13
Jacqueline D Lieberman 350 Boatner Rd, Eglin Afb, FL 32542-1391Student in an Organized Health Care Education/Training Program2023-03-15
James Jennings 307 Boatner Rd, Eglin Afb, FL 32542-1391Independent Duty Medical Technicians2009-05-13
Daniel Pehrson 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391Independent Duty Medical Technicians2009-05-09
Daniel Alan Reid 350 Boatner Rd, Eglin Afb, FL 32542-1391General Practice Dentistry2017-08-02
Angelica Carmen Worsham 307 Boatner Rd, Eglin Afb, FL 32542-1391Medical Physician Assistant2009-10-05
David Alan Thompson 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391Counseling Psychologist2008-10-08
Deana Joy Dogherra 307 Boatner Rd Bldg 2825, Eglin, FL 32542-1391Independent Duty Medical Technicians2009-05-30
Amanda Eitel Ramsey 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391Independent Duty Medical Technicians2009-04-28
Stephanie Nicole Newman 307 Boatner Rd, Eglin Afb, FL 32542-1391Independent Duty Medical Technicians2009-04-14
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
96th Medical Support Squadron · Eglin Duke Fc Phcy 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542Military/U.S. Coast Guard Pharmacy2015-01-20
96th Medical Support Squadron · Dod Eglin Ephcy 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542Military/U.S. Coast Guard Pharmacy2014-06-02
Quincy G. Hall Eglin Air Force Base, 728th Acs, Apo, AP 32542Independent Duty Medical Technicians2009-05-22
Toni Lee Mowrer 1 Ash Drive, 2829 Bldg, Eglin Afb, FL 32542Occupational Therapy Assistant2022-06-13
Courtney Parker Eglin Afb Hospital, Eglin Afb, FL 32542Pharmacist2021-06-22
Martin Army Community Hospital · 7th Special Forces-Tmc 9-Eglin 4327 North El Salvador Way, Eglin Afb, FL 32542Military/U.S. Coast Guard Outpatient Clinic/Center2011-09-02
William L Newman 101 Griffin Way, Eglin Afb, FL 32542Independent Duty Medical Technicians2009-05-13
Joshua Douglas Stephenson 3051 Blake Street, Duke Field, FL 32542Paramedic2009-05-18
Izabela Villalonga 310 W. Van Matre Ave, Eglin Afb, FL 32542Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2008-05-26
Baron T Mullis 307 Boatner Road, Suite 114, Emergency Medicine Dept, Eglin Afb, FL 32542Emergency Medicine Physician2009-07-02
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Adele Secrest 126 Auburn Ave Ste 300, Auburn, WA 98002-5082Registered Dietitian2023-10-10
Bradley N Secrest 415 S 28th Ave, Hattiesburg, MS 39401-7246Urology Physician2006-08-29
Molly Secrest 38 Hyder St, Westborough, MA 01581-3724Speech-Language Pathologist2007-01-02
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Amy Secrest 276 Green Ave Ext, Lewistown, PA 17044-9707Physical Therapy Assistant2014-05-01
Zoe Secrest 8755 Aero Dr Ste 230, San Diego, CA 92123-1750Counselor2022-07-11
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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.

Debra Sjohn Secrest · 340 Boatner Rd, Eglin Afb, FL 32542-1391 · Occupational Therapist (2024)

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