Active NPI
Amy Stango
- Occupational Therapist
- Belle Isle, FL
National Provider Identifier
1023260759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12495
- Practice address
- 3430 Cullen Lake Shore Dr
Belle Isle, FL 32812 - Phone
- (215) 431-3374
- Fax
- (407) 704-3088
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12495 | FL | Primary |
Addresses
Primary practice location
3430 Cullen Lake Shore Dr
Belle Isle, FL 32812
Mailing address
3430 Cullen Lake Shore Dr
Belle Isle, FL 32812
Phone (215) 431-3374
Other names 1
- Amy McGinnis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12495 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empirical Pediatric Therapy, Inc. | Occupational Therapist | Current | Accepting new patients |
| Empirical Pediatric Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Philadelphia, PA
- NPI 1437662814
-
- Pediatric Occupational Therapist
- Belle Isle, FL
- NPI 1972056810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1023260759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 CULLEN LAKE SHORE DR",
"city": "BELLE ISLE",
"state": "FL",
"postal_code": "32812",
"telephone_number": "215-431-3374",
"fax_number": "407-704-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 CULLEN LAKE SHORE DR",
"city": "BELLE ISLE",
"state": "FL",
"postal_code": "32812",
"telephone_number": "215-431-3374",
"fax_number": "407-704-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGO",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MCGINNIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Belle Isle, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.