Organization Active NPI

Ncim Inc.

Doing business as Compassion Rehabilitation

  • Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1114219128
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5879 Issued in FL
Legal business name
NCIM INC.
Doing business as
Compassion Rehabilitation
Practice address
1352 Sheffield Way
Fort Myers, FL 33919-2222
Phone
(239) 878-7646
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Ms. Nathalie Bradshaw Childress, OTR
Title
President
Phone
(239) 878-7646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT5879 FL Primary

Addresses

Primary practice location

1352 Sheffield Way
Fort Myers, FL 33919-2222

Mailing address

1352 Sheffield Way
Fort Myers, FL 33919-2222
Phone (239) 878-7646

Other names 1

  • Compassion Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

6324 Corporate Ct
Fort Myers, FL 33919
Phone (234) 482-4454

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1114219128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 SHEFFIELD WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339192222",
            "telephone_number": "239-878-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 SHEFFIELD WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339192222",
            "telephone_number": "239-878-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCIM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "BRADSHAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-878-7646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassion Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.