Active NPI
Hale Therapy Service Inc
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1235433343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 7744
- Legal business name
- HALE THERAPY SERVICE INC
- Practice address
- 12691 Chartwell Dr
Fort Myers, FL 33912-4659 - Phone
- (239) 561-2778
- Fax
- (239) 561-8107
- NPI assigned
- Jan 4, 2011
- Last updated
- Jan 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Denise Hale-Washburn, MS,OTR
- Title
- President/Occupational Therapist
- Phone
- (239) 691-0765
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16949 | FL | |
| Occupational Therapist | 225X00000X | OT 7744 | FL | Primary |
| Occupational Therapist | 225X00000X | OT 3614 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA 9721 | FL |
Addresses
Primary practice location
12691 Chartwell Dr
Fort Myers, FL 33912-4659
Mailing address
12691 Chartwell Dr
Fort Myers, FL 33912-4659
Phone (239) 561-2778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001200700 | Medicaid | FL | |
| 001200800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Occupational Therapist
- Fort Myers, FL
- NPI 1528391349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1235433343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12691 CHARTWELL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124659",
"telephone_number": "239-561-2778",
"fax_number": "239-561-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12691 CHARTWELL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124659",
"telephone_number": "239-561-2778",
"fax_number": "239-561-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALE THERAPY SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "HALE-WASHBURN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "239-691-0765",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS,OTR"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "16949",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 7744",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 3614",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 9721",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001200700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001200800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.