Organization Active NPI

East Coast Occupational Therapy

  • Occupational Therapist
  • Stuart, FL
National Provider Identifier
1114496908
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
EAST COAST OCCUPATIONAL THERAPY
Practice address
3621 SE Micanopy Ter
Stuart, FL 34997-5460
Phone
(772) 215-7531
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Deanne RosselliNPI 1073820098
Title
Owner
Phone
(772) 215-7531

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3621 SE Micanopy Ter
Stuart, FL 34997-5460

Mailing address

3621 SE Micanopy Ter
Stuart, FL 34997-5460
Phone (772) 215-7531

Other identifiers 1

IdentifierTypeStateIssuer
002870600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1114496908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SE MICANOPY TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975460",
            "telephone_number": "772-215-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 SE MICANOPY TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975460",
            "telephone_number": "772-215-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "ROSSELLI",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-215-7531"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002870600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.