Organization Active NPI

Stephanie C Spinelli and Associates

  • Pediatric Occupational Therapist
  • Orlando, FL
National Provider Identifier
1083623896
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
STEPHANIE C SPINELLI AND ASSOCIATES
Practice address
427 N Magnolia Ave Ste 100
Orlando, FL 32801-1524
Phone
(407) 896-1152
Fax
(407) 872-3014
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Stephanie Caserta Spinelli, OTR/LNPI 1720097504
Title
President
Phone
(407) 896-1152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

427 N Magnolia Ave Ste 100
Orlando, FL 32801-1524

Mailing address

22 Lake Beauty Dr Ste 304
Orlando, FL 32806-2040
Phone (407) 896-1152

Other identifiers 4

IdentifierTypeStateIssuer
2265418OtherFLAETNA HM0
5410590OtherFLAETNA PPO
882631500MedicaidFL
Z5844OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • DISTINCTIVE PEDIATRIC THERAPY Former legal business name

National Provider Directory

National Provider Directory

Locations

427 N Magnolia Ave
Ste 100
Orlando, FL 32801
Phone (407) 896-1152

22 Lake Beauty Dr
Ste 304
Orlando, FL 32806
Phone (407) 678-0372

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1083623896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LAKE BEAUTY DR STE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062040",
            "telephone_number": "407-896-1152",
            "fax_number": "407-872-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MAGNOLIA AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011524",
            "telephone_number": "407-896-1152",
            "fax_number": "407-872-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE C SPINELLI AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SPINELLI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "CASERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-896-1152",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HM0",
            "identifier": "2265418",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5410590",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882631500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z5844",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISTINCTIVE PEDIATRIC THERAPY",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DISTINCTIVE PEDIATRIC THERAPY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.