Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Occupational Therapist PA

Organization Early Intervention Provider Agency · NPI 1972266104

Pediatric Occupational Therapist PA is an Early Intervention Provider Agency in Fort Walton Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

266 Kidd St
Fort Walton Beach, FL 32548-4478
Phone: (850) 582-2689
Fax: (850) 244-0971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1972266104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Kersey — Occupational Therapist · (850) 582-2689
NPI enumeratedOctober 14, 2021
Last updated in NPPESOctober 14, 2021
Certification dateSeptember 19, 2021
Mailing address266 Kidd St, Fort Walton Beach, FL 32548-4478