Individual provider Active NPI

Lan Nguyen Cassella, OTR/L

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1033226865
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5836 Issued in FL
Practice address
3421 W Leroy St
Tampa, FL 33607-1129
Phone
(813) 846-5089
Fax
(813) 441-8121
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT5836 FL Primary
Pediatric Occupational Therapist 225XP0200X OT 5836 FL

Addresses

Primary practice location

3421 W Leroy St
Tampa, FL 33607-1129

Mailing address

3421 W Leroy St
Tampa, FL 33607-1129
Phone (813) 846-5089

Other identifiers 1

IdentifierTypeStateIssuer
885649400MedicaidFL

Other names 1

  • Lan Phuong Nguyen Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT5836FLMDOccupational Therapist
OT 5836FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focal Point Therapy, LLC Single Specialty CurrentSince Apr 6, 2021 Accepting new patients
True Blue Therapy LLC Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1033226865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W LEROY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071129",
            "telephone_number": "813-846-5089",
            "fax_number": "813-441-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W LEROY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071129",
            "telephone_number": "813-846-5089",
            "fax_number": "813-441-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELLA",
        "first_name": "LAN",
        "middle_name": "NGUYEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5836",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 5836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885649400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "NGUYEN",
            "middle_name": "PHUONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.