Gulf Coast Therapy Associates, P.a.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

OT1055 Issued in FL

Legal business name

GULF COAST THERAPY ASSOCIATES, P.A.

Practice address

3417 Tamiami TRL Ste a
Port Charlotte, FL 33952-8158

Phone

(941) 624-6222

Fax

(941) 624-6831

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Theesa C Benock, O.T.R.C.H.T.

Title

Occupational Therapist

Phone

(941) 624-6222

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammie Unger

  • Community Based Hospice Care Agency
  • Milwaukee, WI
  • NPI 1578430104
  NPD
• Theresa Clark Benock, O.T.R.,C.H.T.

  • Hand Occupational Therapist
  • Port Charlotte, FL
  • NPI 1376699462
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023227436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12576 BACCHUS RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339811509",
            "telephone_number": "941-698-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-624-6222",
            "fax_number": "941-624-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST THERAPY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENOCK",
        "authorized_official_first_name": "THEESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "941-624-6222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T.R.C.H.T."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "OT1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R6F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Knee Scooter
• Gulf Coast Orthotics & Prosthetics Center, LLC
• Gulf Coast Pulmonary Medicine
• Gulf Coast Pulmonary Medicine P.a.
• Gulf Coast Sleep Solutions LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfview Medical Institute PLLC
• Lisa Guttman, APRN
• Raquel Teresa Guzman
• GV Port Charlotte, LLC

• Customized Equipment (DME) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.