Gina Marie Lastella, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT22582 Issued in FL

Practice address

880 Patricia Ave
Dunedin, FL 34698-6072

Phone

(727) 803-1102

NPI assigned

Jan 14, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerme Rehabilitation Florida, LLC

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1184257602
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Florida, LLC

  • Rehabilitation Clinic/Center
  • The Villages, FL
  • NPI 1477245892
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1003567769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST AVE S STE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014364",
            "telephone_number": "727-803-1102",
            "fax_number": "727-502-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986072",
            "telephone_number": "727-803-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTELLA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Occupational Medical Centers, Inc.
• Frank P Lamarte, M.D.
• Rowena Landicho
• Jeffrey Landis, MD
• Glenn R Larsen, DC
• Erel Laufer, MD
• Chungeun Joanne Lee, PHARMD
• Isaac Lee
• Charlotte Leigh
• Kara Lemond, APRN, FNP-C

• Occupational Therapist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.